NPI 1679609119

Robert J. Benavides

Organisation Exclusive Provider Organization San Antonio, TX

Practice location

Address: 8502 Chimneyhill St, San Antonio, TX 78254-2019
Phone: (210) 522-9732

Authorised official

Name: Robert Joseph Benavides
Title: Owner
Phone: (210) 522-9732

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 119321 (TX)

Other Exclusive Provider Organization providers in Texas →

Registry record

NPI: 1679609119
Entity type: Organization
NPI issued: 27 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.