Individual
FERNANDO LUIS BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 648-3067
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-3067
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
K8001
TX
Other
Enumeration date
04/20/2006
Last updated
04/17/2008
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