Individual
GABRIEL M BENITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5340 WALZEM RD STE 5340, WINDCREST, TX 78218-2123
(210) 653-8085
(210) 599-8508
Mailing address
5340 WALZEM RD STE 5340, WINDCREST, TX 78218-2123
(210) 653-8085
(210) 599-8508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01916
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309254601
—
TX
Enumeration date
03/01/2006
Last updated
09/21/2023
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