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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013022979 | NPPES |
| Texas | MEDICAID | 177021601 |
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