Whalio Doctors

NPI 1003118654

Benedict Castanares Novicio, CRNA

Practitioner Certified Registered Nurse Anesthetist Odessa, TX

Practice location

Address
500 W 4th St, Odessa, TX 79761-5001
Phone
(432) 640-2408
Fax
(432) 640-2190
Mailing address
PO Box 2129, Odessa, TX 79760-2129

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence AP128159 (TX)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 004588 (CT)

Registry record

NPI
1003118654
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Dec 2010
Record last updated
27 Oct 2015

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.