NPI 1346528247

Carlos Jose Benitez, CPED

Practitioner Pedorthist Mission, TX

Practice location

Address: 900 Plaza Dr STE 4b, Mission, TX 78572-6049
Phone: (956) 205-2981

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED3593 (TX)

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Registry record

NPI: 1346528247
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2011
Record last updated: 26 Jul 2011

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.