Individual
ILENE BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4818 E SAM HOUSTON PKWY N, HOUSTON, TX 77015
(713) 773-5110
Mailing address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-9989
(713) 955-9292
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218525
TX
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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