Organization
ROBERT J. BENAVIDES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JOSEPH BENAVIDES ADULT FOSTER CARE (OWNER)
(210) 522-9732
Entity
Organization
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
302F00000X
Exclusive Provider Organization
Primary
119321
TX
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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