Individual
DAVID JOSEPH BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5060 DAVIS BLVD, NORTH RICHLAND HILLS, TX 76180-7004
(817) 498-8585
(817) 498-8582
Mailing address
5060 DAVIS BLVD, NORTH RICHLAND HILLS, TX 76180-7004
(817) 498-8585
(817) 498-8582
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1199151
TX
225100000X
Physical Therapist
2329
ID
225100000X
Physical Therapist
3592542401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000064597
MEDICARE PTAN
UT
01
—
1650056
MEDICARE PTAN
ID
01
—
35925424000001
REGENCE BLUECROSS BLUESHIELD OF UTAH
UT
01
—
TD702
BLUE CROSS OF IDAHO
ID
Enumeration date
08/02/2006
Last updated
08/30/2010
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