Provider Demographics
NPI:1053855882
Name:ANASTASIA BENSON, DO PA
Entity Type:Organization
Organization Name:ANASTASIA BENSON, DO PA
Other - Org Name:PARADIGM FAMILY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANASTASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-810-3553
Mailing Address - Street 1:6301 GASTON AVE
Mailing Address - Street 2:SUITE 445
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-3922
Mailing Address - Country:US
Mailing Address - Phone:214-810-3553
Mailing Address - Fax:844-823-2616
Practice Address - Street 1:6301 GASTON AVE
Practice Address - Street 2:SUITE 445
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-3922
Practice Address - Country:US
Practice Address - Phone:214-810-3553
Practice Address - Fax:844-823-2616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0005261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center