Individual
BENITO M VIZCAINO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC.
Contact information
Practice address
3128 HURSTVIEW DR, HURST, TX 76054-2002
(817) 798-6222
Mailing address
3128 HURSTVIEW DR, HURST, TX 76054-2002
(817) 798-6222
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01355
TX
Other
Enumeration date
09/12/2013
Last updated
09/13/2013
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