| Marco A Benitez Mdpa | |
|
511 Gaslight Blvd Lufkin TX 75904-3127 | |
| (936) 639-2222 | |
| (936) 639-8810 |
| Full Name | Marco A Benitez Mdpa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 511 Gaslight Blvd, Lufkin, Texas |
| Authorized Official Name and Position | Marco A Benitez (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9366392222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marco A Benitez Mdpa 511 Gaslight Blvd Lufkin TX 75904-3127 Ph: (936) 639-2222 | Marco A Benitez Mdpa 511 Gaslight Blvd Lufkin TX 75904-3127 Ph: (936) 639-2222 |
| NPI Number | 1780857417 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Medicare PECOS PAC ID | 6305870148 |
|---|---|
| Medicare Enrollment ID | O20050921000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780857417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | L8616 (Texas) | Primary |
| Provider Name | Marcos A Benitez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013022979 PECOS PAC ID: 3678470036 Enrollment ID: I20050921000955 |
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