Individual
MR. BIENVENIDO TENEDERO LEVARDO IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1100 BIG EASY ST, ODESSA, TX 79765-2517
(432) 381-9708
Mailing address
1100 BIG EASY ST, ODESSA, TX 79765-2517
(432) 381-9708
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1229699
TX
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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