| Doctor Name: | MR. CARLOS BENAVIDEZ |
| NPI Number: | 1003259888 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 35506 |
| Business Practice Address: | 1301 E Fern Ave Mcallen, TX - 785011466 |
| Business Phone Number: | 9566839339 |
| Business Fax Number: | |
| Mailing Address: | 421 Happy Valley Dr, EDINBURG |
| State: | TX |
| Postal Code: | 785396410 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/11/2013 |
| NPI Last Update Date: | 04/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | 35506 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |