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Individual

MARCO A BENITEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
3006 S 1ST ST STE B, LUFKIN, TX 75901-7112
(936) 639-2222
(936) 639-8810
Mailing address
3006 S 1ST ST STE B, LUFKIN, TX 75901-7112
(936) 639-2222
(936) 639-8810

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
L8616
TX
2084N0400X
Neurology Physician
ME145526
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
177021601
TX
Enumeration date
08/20/2006
Last updated
09/01/2021
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