NPI 1780493874 · live from the CMS NPI Registry
Heran Beniam, NP
Nurse Practitioner, Pediatrics in Dallas, TX. National Provider Identifier 1780493874, active.
NPI record
| NPI | 1780493874 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 5323 Harry Hines Blvd, Dallas, TX 75390 |
| Practice phone | 214-648-3111 |
| Mailing address | 6657 Rockleigh Way, Alexandria, VA 22315 |
| Enumerated | January 3, 2025 |
| Last updated | April 30, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1167115 (TX) |
| Nurse Practitioner, Pediatrics, Critical Care | 363LP0222X | 1167115 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.