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Organization
OSCAR BENAVIDES MD PA
Active
Organization
OSCAR BENAVIDES MD PA
Active
Other names
Prof Association
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELICITAS BENAVIDES RN (MANAGER)
(956) 725-5210
Entity
Organization
Contact information
Practice address
209 W VILLAGE BLVD STE 11, LAREDO, TX 78041-2227
(956) 725-5210
(956) 717-1708
Mailing address
209 W VILLAGE BLVD STE 11, LAREDO, TX 78041-2227
(956) 725-5210
(956) 717-1708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H9039
TX
332B00000X
Durable Medical Equipment & Medical Supplies
0104598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192463101
—
TX
Enumeration date
01/16/2007
Last updated
10/17/2019
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