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Individual

ANASTASIA M BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
6301 GASTON AVE, SUITE 445, DALLAS, TX 75214-3922
(214) 810-3553
(844) 823-2616
Mailing address
6301 GASTON AVE, SUITE 445, DALLAS, TX 75214-3922
(214) 810-3553
(844) 823-2616

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10039514
TX
207Q00000X
Family Medicine Physician
Primary
Q0005
TX

Other

Enumeration date
05/02/2011
Last updated
09/15/2016
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