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NPI Code Detail

MEDICARE: DAVID JOSEPH BENSON DPT

MEDICARE: DAVID JOSEPH BENSON DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2329ID
2225100000XPhysical Therapist1199151TX
3225100000XPhysical Therapist3592542401UT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11650056OTHERIDMEDICARE PTAN
3000064597OTHERUTMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2TD702OTHERIDBLUE CROSS OF IDAHO
435925424000001OTHERUTREGENCE BLUECROSS BLUESHIELD OF UTAH

General Provider Information

NPI Number : 1386651040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID JOSEPH BENSON DPT
Provider Business Mailing Address
First Line : 5060 DAVIS BLVD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-7004
Country : US
Telephone Number : 817-498-8585
Fax Number : 817-498-8582
Provider Business Practice Location Address
First Line : 5060 DAVIS BLVD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-7004
Country : US
Telephone Number : 817-498-8585
Fax Number : 817-498-8582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 08/30/2010

Similar Medicare Providers

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Practice Location Address:
5060 DAVIS BLVD
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Practice Phone: 817-498-8585
Practice Fax:
1790719383 — MRS. KELLY MCFARLAND DPT
Practice Location Address:
5060 DAVIS BLVD
NORTH RICHLAND HILLS, TX
76180-7004
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Practice Fax: 817-498-8582
1588685911 — MS. ELLEN M MURRAY MSPT
Practice Location Address:
5060 DAVIS BLVD
NORTH RICHLAND HILLS, TX
76180-7004
Practice Phone: 817-498-8585
Practice Fax: 817-498-8582
1609886472 — PREMIER REHAB, P.C.
Practice Location Address:
5060 DAVIS BLVD
NORTH RICHLAND HILLS, TX
76180-7004
Practice Phone: 817-498-8585
Practice Fax: 817-498-8582
1659405892 — LINDA DOWNS PT
Practice Location Address:
5060 DAVIS BLVD
NORTH RICHLAND HILLS, TX
76180-7004
Practice Phone: 817-498-8585
Practice Fax:
1114103165 — JANA HOGG MULLIGAN P.T.
Practice Location Address:
5060 DAVIS BLVD
NORTH RICHLAND HILLS, TX
76180-7004
Practice Phone: 817-498-8585
Practice Fax: 817-498-8582

Directions to “ DAVID JOSEPH BENSON DPT” Practice Location

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