Individual
BENEDICT CASTANARES NOVICIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-2408
(432) 640-2190
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-2408
(432) 640-2190
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
004588
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
AP128159
TX
Other
Enumeration date
12/01/2010
Last updated
10/27/2015
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