Cody Matney Benavidez, PA-C
NPI #1487363065 in Fort Bliss, Texas
Provider Information
- NPI Number
- 1487363065
- Entity Type
- Individual
- Name
- Cody Matney Benavidez, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 22, 2022
- Last Updated
- Dec 4, 2023
Practice Location
- Address
- 11335 SSG SIMS ST
- City
- Fort Bliss
- State
- Texas
- ZIP Code
- 79918
- Phone
- (915) 742-1261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
| Physician Assistant |
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