Individual
HERAN BENIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390
(214) 648-3111
Mailing address
6657 ROCKLEIGH WAY, ALEXANDRIA, VA 22315-3479
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1167115
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
1167115
TX
Other
Enumeration date
01/03/2025
Last updated
04/30/2025
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