Provider Demographics
NPI:1801108501
Name:BENSON, JAMICA (PBT, CMA)
Entity type:Individual
Prefix:MS
First Name:JAMICA
Middle Name:
Last Name:BENSON
Suffix:
Gender:F
Credentials:PBT, CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19439 CYPRESS BAY CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-5516
Mailing Address - Country:US
Mailing Address - Phone:281-725-8153
Mailing Address - Fax:
Practice Address - Street 1:19439 CYPRESS BAY CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-5516
Practice Address - Country:US
Practice Address - Phone:281-725-8153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX521006246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy