Individual
DR. BENITO CARRERA LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E SONTERRA BLVD, SUITE #201, SAN ANTONIO, TX 78258-3992
(512) 797-1818
(210) 545-3455
Mailing address
6705 W HIGHWAY 290, SUITE 502-191, AUSTIN, TX 78735-8400
(512) 296-2160
(512) 296-2160
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K6819
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
K6819
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100540704
—
TX
Enumeration date
02/15/2007
Last updated
08/23/2022
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