Provider Demographics
NPI:1447984927
Name:BENSON, DONATUS E (PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:DONATUS
Middle Name:E
Last Name:BENSON
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Gender:M
Credentials:PMHNP-BC
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Mailing Address - Street 1:110 W RANDOL MILL RD STE 201
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-4613
Mailing Address - Country:US
Mailing Address - Phone:817-323-7633
Mailing Address - Fax:682-222-7574
Practice Address - Street 1:410 NW 11TH ST # 107
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-5416
Practice Address - Country:US
Practice Address - Phone:817-231-0913
Practice Address - Fax:888-322-2260
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2024-03-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX1085988363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health