Individual
AMY C BENEDIKT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4242 MEDICAL DR, SUITE 3100, SAN ANTONIO, TX 78229-5640
(210) 615-1187
(210) 614-2180
Mailing address
PO BOX 34717, SAN ANTONIO, TX 78265-4717
(210) 615-1187
(210) 614-2180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J3047
TX
207LP3000X
Pediatric Anesthesiology Physician
J3047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1162513-03
—
TX
Enumeration date
05/08/2006
Last updated
12/13/2023
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