Benavidez, Marie Antoinette

Benavidez, Marie Antoinette is an individual health care provider with primary practice located at 3463 Magic Dr Ste T21 , San Antonio TX 78229-3621. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as her primary health care specialty. Benavidez, Marie Antoinette can be contacted via phone (212) 210-7123.

Contact Information

Primary practice address
3463 Magic Dr Ste T21 San Antonio TX 78229-3621
Phone: (212) 210-7123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X FPF02000054 Texas

Profile Details

NPI number 1104309533
LBN Legal business name Benavidez, Marie Antoinette
Credentials CCP, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2018
Last updated Sep 11th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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