Provider Demographics
NPI:1497998397
Name:BENSON, REBECCA ANN (L AC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:BENSON
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4802 ROWENA AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-2541
Mailing Address - Country:US
Mailing Address - Phone:512-751-2486
Mailing Address - Fax:
Practice Address - Street 1:1551 N WALNUT AVE
Practice Address - Street 2:SUITE 40
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6045
Practice Address - Country:US
Practice Address - Phone:830-625-6011
Practice Address - Fax:830-606-0398
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01078171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist