MEDICARE: DEREK MICHAEL BENSON DC

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
1	111N00000X	Chiropractor	13364	TX

General Provider Information

NPI Number	:	1851829774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEREK MICHAEL BENSON DC

Provider Business Mailing Address
First Line	:	7948 DAVIS BLVD STE 200
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-6954
Country	:	US
Telephone Number	:	817-697-2560
Fax Number	:	817-577-2345

Provider Business Practice Location Address
First Line	:	2150 JUSTIN RD STE 100
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-7126
Country	:	US
Telephone Number	:	469-763-3221
Fax Number	:	469-763-3222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2017
Last Update Date	:	05/24/2017

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Directions to “ DEREK MICHAEL BENSON DC” Practice Location

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