NPI 1104309533

Marie Antoinette Benavidez, CCPLP

Practitioner Perfusionist San Antonio, TX

Practice location

Address: 3463 Magic Dr STE T21, San Antonio, TX 78229-3621
Phone: (212) 210-7123
Mailing address: 1303 Kingbird CT, San Antonio, TX 78245-4463

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence FPF02000054 (TX)

Other Perfusionist providers in Texas →

Registry record

NPI: 1104309533
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Sep 2018
Record last updated: 11 Sep 2018

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.