Individual
JOHN BENITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11718 DEER ML, SAN ANTONIO, TX 78254-4471
(315) 276-6637
Mailing address
11718 DEER ML, SAN ANTONIO, TX 78254-4471
(315) 276-6637
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
913324
TX
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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