Provider Demographics
NPI:1376038752
Name:BENGE, CHRISTINA D (FNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:D
Last Name:BENGE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10045 COUNTY ROAD 133
Mailing Address - Street 2:
Mailing Address - City:KAUFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75142-4759
Mailing Address - Country:US
Mailing Address - Phone:469-323-9407
Mailing Address - Fax:
Practice Address - Street 1:1000 N DAVIS DR STE B
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-3202
Practice Address - Country:US
Practice Address - Phone:817-342-0232
Practice Address - Fax:866-554-1950
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139728363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX727992OtherREGISTERED NURSE