Individual
SAUL BENITEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNS
Contact information
Practice address
4101 JAMES CASEY ST, SUITE 330, AUSTIN, TX 78745-3325
(512) 816-8042
(512) 804-2360
Mailing address
4101 JAMES CASEY ST, SUITE 330, AUSTIN, TX 78745-3325
(512) 816-8042
(512) 804-2360
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
747353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211153602
—
TX
05
—
211153603
—
TX
01
—
831N38
BCBS
TX
01
—
P00976278
RAILROAD MEDICARE
TX
Enumeration date
11/05/2009
Last updated
03/04/2016
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