Individual
ISAI BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 N LBJ DR APT 2310, SAN MARCOS, TX 78666-3166
(512) 999-1035
Mailing address
1410 N LBJ DR APT 2310, SAN MARCOS, TX 78666-3166
(512) 999-1035
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/29/2020
Last updated
02/29/2020
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