Individual
BENITO J IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75284-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M3590
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182716401
—
TX
05
—
182716402
—
TX
05
—
182716403
—
TX
05
—
182716404
—
TX
05
—
182716405
—
TX
01
—
8S7547
BCBS
TX
01
—
G0146172
DPS
TX
01
—
P00362216
RAILROAD
TX
Enumeration date
07/13/2006
Last updated
03/07/2023
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