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Individual

JAMIE BETH BENJAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-4151
(817) 702-4161
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-8450

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
P8677
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
347943801
TX
01
8FD892
BCBS
TX
01
P01554608
RAILROAD MEDICARE
TX
Enumeration date
06/15/2011
Last updated
01/30/2026
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