Individual
MIGUEL ANTONIO BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
10251 KEMPWOOD DR, HOUSTON, TX 77043-1803
(713) 996-0449
Mailing address
PO BOX 691846, HOUSTON, TX 77269-1846
(661) 809-1076
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
324089
TX
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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