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NPI Code Detail

MEDICARE: NANCY P BENAVIDES

MEDICARE:   NANCY P BENAVIDES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language Assistant45124TX

General Provider Information

NPI Number : 1306778113
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY P BENAVIDES
Provider Business Mailing Address
First Line : 4365 S HULEN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4917
Country : US
Telephone Number : 817-238-3023
Fax Number :
Provider Business Practice Location Address
First Line : 4365 S HULEN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4917
Country : US
Telephone Number : 817-238-3023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ NANCY P BENAVIDES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.