Individual
DR. JOHN G BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(585) 245-3911
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19701
TN
207P00000X
Emergency Medicine Physician
219852
NY
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
219852
NY
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
219852
NY
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
Primary
19701
TN
2083X0100X
Occupational Medicine Physician
19701
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02136010
—
NY
Enumeration date
07/17/2006
Last updated
09/15/2020
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