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Individual

DR. GRISELDA BENAVIDES AGUIRRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
4702 E UNIVERSITY BLVD, ODESSA, TX 79762-8105
(432) 550-4245
Mailing address
4702 E UNIVERSITY BLVD, ODESSA, TX 79762-8105

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8790T
TX
152WC0802X
Corneal and Contact Management Optometrist
8790T
TX
152WP0200X
Pediatric Optometrist
8790T
TX
152WX0102X
Occupational Vision Optometrist
8790T
TX

Other

Enumeration date
07/29/2015
Last updated
07/15/2021
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