Individual provider · NPI-1

Amber Taylor Benavides, PA

Family Medicine · Laredo, TX

NPI number1104592005
StatusActive
Last updated in NPPESAug 19, 2021

Details

NPI
1104592005
Entity type
Individual (NPI-1)
Name
Amber Taylor Benavides
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 19, 2021
Certification date
Aug 19, 2021
Last updated
Aug 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicinePA13628TXYes

Practice location

3527 Jaime Zapata Memorial Hwy Ste 101
Laredo, TX 78043-4788

Phone 956-711-5007

Mailing address

3527 Jaime Zapata Memorial Hwy Ste 101
Laredo, TX 78043-4788

Phone 956-711-5007

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