Organization
CAMINO-BENECH COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAMIL BENECH-JIMENEZ FNP (OWNER)
(281) 909-0102
Entity
Organization
Contact information
Practice address
8622 S BRAESWOOD BLVD, HOUSTON, TX 77031-1301
(281) 909-0102
(281) 909-0105
Mailing address
8622 S BRAESWOOD BLVD, HOUSTON, TX 77031-1301
(281) 909-0102
(281) 909-0105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408249701
—
TX
Enumeration date
12/02/2020
Last updated
12/15/2020
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