Provider Demographics
NPI:1376500843
Name:BENZICK, ARTHUR ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:ERIC
Last Name:BENZICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:731 EAST SOUTHLAKE BLVD
Mailing Address - Street 2:100
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6010
Mailing Address - Country:US
Mailing Address - Phone:817-424-3366
Mailing Address - Fax:817-552-8540
Practice Address - Street 1:731 E SOUTHLAKE BLVD
Practice Address - Street 2:100
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6010
Practice Address - Country:US
Practice Address - Phone:817-424-3366
Practice Address - Fax:817-552-8540
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK0418208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG31842Medicare UPIN