Organization
VISTA HEALTH CLINIC & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BENEDICT D.C. (OWNER)
(915) 591-0680
Entity
Organization
Contact information
Practice address
10600 MONTWOOD DR, STE 119, EL PASO, TX 79935-2704
(915) 591-0680
(915) 591-0680
Mailing address
10600 MONTWOOD DR, STE 119, EL PASO, TX 79935-2704
(915) 591-0680
(915) 591-0680
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
8790
TX
225100000X
Physical Therapist
1189796
TX
Other
Enumeration date
01/22/2013
Last updated
05/08/2015
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