Provider Demographics
NPI:1558870709
Name:BENHAM, DLINDA G (NP)
Entity Type:Individual
Prefix:
First Name:DLINDA
Middle Name:G
Last Name:BENHAM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 6TH ST
Mailing Address - Street 2:
Mailing Address - City:SNYDER
Mailing Address - State:TX
Mailing Address - Zip Code:79549-8422
Mailing Address - Country:US
Mailing Address - Phone:325-335-1444
Mailing Address - Fax:325-400-2939
Practice Address - Street 1:1912 6TH ST
Practice Address - Street 2:
Practice Address - City:SNYDER
Practice Address - State:TX
Practice Address - Zip Code:79549-8422
Practice Address - Country:US
Practice Address - Phone:325-335-1444
Practice Address - Fax:325-400-2939
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135119363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily