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Organization

MELISSA A. BENAVIDES, M.D., P.A.

Active
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Organization

MELISSA A. BENAVIDES, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLINA CAMARILLO (OFFICE MANAGER)
(956) 727-1995
Entity
Organization

Contact information

Practice address
220 W HILLSIDE STE 4A, LAREDO, TX 78041-6903
(956) 727-1995
(956) 717-1176
Mailing address
220 W HILLSIDE STE 4A, LAREDO, TX 78041-6903
(956) 727-1995
(956) 717-1176

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K8608
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034MH
BLUE CROSS BLUE SHIELD
TX
05
—
124955906
—
TX
01
—
172430401
MEDICAID BILLING
TX
Enumeration date
02/14/2008
Last updated
08/20/2008
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