Erica Benavides

NPI #1205319589 in Benbrook, Texas

Provider Information

NPI Number: 1205319589
Entity Type: Individual
Name: Erica Benavides
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Sep 12, 2018
Last Updated: Sep 12, 2018

Practice Location

Address: 6211 SOUTHWEST BLVD
City: Benbrook
State: Texas
ZIP Code: 76132-1080
Phone: (817) 249-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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