Benitez, Marco A

Benitez, Marco A is an sole proprietor health care provider with primary practice located at 3006 S 1St St Ste B , Lufkin TX 75901-7112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Benitez, Marco A can be contacted via phone (936) 639-2222.

Contact Information

Primary practice address
3006 S 1St St Ste B Lufkin TX 75901-7112
Phone: (936) 639-2222
Fax: (936) 639-8810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME145526 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X L8616 Texas

Profile Details

NPI number 1013022979
LBN Legal business name Benitez, Marco A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Sep 1st, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013022979 NPPES
Texas MEDICAID 177021601

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