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Individual
JOHN P BENAVIDES
Active
Individual
JOHN P BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
L7309
TX
208VP0000X
Pain Medicine Physician
Primary
L7309
TX
Other
Enumeration date
07/04/2006
Last updated
09/19/2022
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