Healthcare Provider Details

I. General information

NPI: 1427559228
Provider Name (Legal Business Name): JULIA BENAVIDES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2018
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7434 LOUIS PASTEUR DR STE 209
SAN ANTONIO TX
78229-4540
US

IV. Provider business mailing address

7597 HALO AVE N # NA
BROWNSVILLE TX
78520-3812
US

V. Phone/Fax

Practice location:
  • Phone: 210-761-9001
  • Fax: 800-852-8610
Mailing address:
  • Phone: 956-639-9106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number319438
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1198884
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: