Individual provider · NPI-1

Luis M Benavides, MD

Family Medicine · Laredo, TX

NPI number1780656686
StatusActive
Last updated in NPPESDec 30, 2016

Details

NPI
1780656686
Entity type
Individual (NPI-1)
Name
Luis M Benavides
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 3, 2006
Last updated
Dec 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineF1378TXYes

Practice location

7215 Mcpherson Rd
Laredo, TX 78041-6554

Phone 956-724-9091 · Fax 956-724-8213

Mailing address

7215 Mcpherson Rd
Laredo, TX 78041

Phone 956-608-4500 · Fax 956-608-4501

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