Individual
ANTONISHA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12790 FM 1560 N UNIT 1707, HELOTES, TX 78023-2270
(726) 237-9479
Mailing address
12790 FM 1560 N UNIT 1707, HELOTES, TX 78023-2270
(726) 237-9479
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
328722
TX
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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