Organization · NPI-2

Adolfo Benitez, MD, PA

Family Medicine · El Paso, TX

NPI number1447567193
StatusActive
Last updated in NPPESMay 5, 2023

Details

NPI
1447567193
Entity type
Organization (NPI-2)
Legal business name
Adolfo Benitez, MD, PA
Organization subpart
No
Enumeration date
Sep 1, 2010
Certification date
Apr 26, 2023
Last updated
May 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineN7523TXYes

Other names

  • Family Medicine And Skin Care Center (Doing Business As)

Practice location

3570 Rich Beem
Ste A
El Paso, TX 79938-7993

Phone 915-504-6900 · Fax 915-856-1612

Mailing address

3570 Rich Beem
Suite A
El Paso, TX 79938-3331

Phone 915-504-6900 · Fax 915-856-1612

Authorized official

Adolfo Leon Benitez
Director
9155046900

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