Individual
OSCAR WIDALES-BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-3315
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-3315
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38565
TX
Other
Enumeration date
06/06/2018
Last updated
11/12/2020
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