Individual
BRIAN BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5025 HIGHRIDGE DR, GARLAND, TX 75043-4930
(469) 879-5330
Mailing address
5025 HIGHRIDGE DR, GARLAND, TX 75043-4930
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5982
TX
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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