Individual
EDGARDO BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12650 NACOGDOCHES RD, SAN ANTONIO, TX 78217-2118
(210) 656-4363
(210) 599-1251
Mailing address
7500 BARLITE BLVD STE 313, SAN ANTONIO, TX 78224-1363
(210) 928-2273
(210) 928-7272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7037
TX
Other
Enumeration date
08/28/2007
Last updated
03/22/2021
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