Individual
CARLOS JOSE BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C. PED
Contact information
Practice address
900 PLAZA DR STE 4B, MISSION, TX 78572-6049
(956) 205-2981
Mailing address
900 PLAZA DR STE 4B, MISSION, TX 78572-6049
(956) 205-2981
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
CPED3593
TX
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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