Most Relevant Information
Provider Data
NPI Number: | 1003259888 |
Provider Name: | CARLOS BENAVIDEZ |
Entity Type: | Individual |
Taxonomy Code: | 2355S0801X |
Specialty: | Specialist/Technologist |
License Number: | 35506 |
Most Important Dates
Enumeration Date: | 04/11/2013 |
Last Updated: | 04/11/2013 |
Provider Practice Location
1301 E FERN AVE
MCALLEN
TX
785011466
Practice Location Phone/Fax
Phone: | 9566839339 |
Fax: |
Provider Mailing Location
421 HAPPY VALLEY DR
EDINBURG
TX
785396410
Provider Mailing Phone/Fax
Phone: | |
Fax: |