Individual
OVIDIO BENAVIDES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
6100 MAIN ST # MS 552, HOUSTON, TX 77005-1827
(559) 904-5157
Mailing address
8322 BEECHNUT ST APT A, HOUSTON, TX 77036-6886
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5629
TX
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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