Individual
BEVERLY BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 ROGER BROOKE DR, BLDG 3600 ANNEX C TRAILER 16, FORT SAM HOUSTON, TX 78234-4504
(210) 916-8824
Mailing address
3551 ROGER BROOKE DR, BLDG 3600 ANNEX C TRAILER 16, FORT SAM HOUSTON, TX 78234-4504
(210) 916-8824
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
746559
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
74559
TX
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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