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Individual

MR. ROBERT J. BENAVIDES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
A.F.C.P.

Contact information

Practice address
8502 CHIMNEYHILL ST, SAN ANTONIO, TX 78254-2019
(210) 522-9732
Mailing address
8502 CHIMNEYHILL ST, SAN ANTONIO, TX 78254-2019
(210) 522-9732

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
119321
TX

Other

Enumeration date
05/15/2007
Last updated
08/30/2007
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