Isai Benitez
Specialist/Technologist, Athletic Trainer in San Marcos, TX. Individual provider (NPI-1).
NPI number1750915674
StatusActive
Last updated in NPPESFeb 29, 2020
Details
- NPI
- 1750915674
- Entity type
- Individual (NPI-1)
- Name
- Isai Benitez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 29, 2020
- Certification date
- Feb 29, 2020
- Last updated
- Feb 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1410 N Lbj Dr Apt 2310San Marcos, TX 78666-3166
Phone 512-999-1035
Mailing address
1410 N Lbj Dr Apt 2310San Marcos, TX 78666-3166
Phone 512-999-1035
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