Individual
DENIS R BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4289
(682) 885-6111
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-4157
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
K9728
TX
207ZP0213X
Pediatric Pathology Physician
Primary
K9728
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083EB
BCBSTX GRP PIN
TX
01
—
10030959
AMERIGROUP PIN
TX
05
—
105722601
—
TX
05
—
105722602
—
TX
01
—
108418100
FIRSTCARE PIN
TX
01
—
122646
UHC PIN
TX
01
—
124030
SUPERIOR PIN
TX
05
—
140442847
—
TX
05
—
140442895
—
TX
01
—
1750369203
GRP NPI NUMBER
TX
01
—
7308123
AETNA PIN
TX
01
—
800011
FIRSTHEALTH PIN
TX
01
—
85111Y
BCBSTX IND PIN
TX
01
—
9030385
CIGNA PIN
TX
01
—
9110676
PHCS PIN
TX
Enumeration date
08/12/2006
Last updated
02/20/2009
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