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Individual

DONALD E BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
411 N BELKNAP ST, STEPHENVILLE, TX 76401-3415
(817) 250-4906
(817) 250-4815
Mailing address
411 N BELKNAP ST, STEPHENVILLE, TX 76401-3415
(817) 250-4906
(817) 250-4815

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35052151
OH
207R00000X
Internal Medicine Physician
Primary
N6171
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000352230
BCBS
05
0663581
OH
01
P00190765
RAIL ROAD MEDICARE
Enumeration date
05/25/2006
Last updated
09/04/2019
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