MEDICARE: AWAKENEDONE, LLC

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1710838586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AWAKENEDONE, LLC

Provider Business Mailing Address
First Line	:	2150 JUSTIN RD STE 100
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-7126
Country	:	US
Telephone Number	:	469-312-3317
Fax Number	:	469-533-9748

Provider Business Practice Location Address
First Line	:	2150 JUSTIN RD STE 100
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-7126
Country	:	US
Telephone Number	:	469-312-3317
Fax Number	:	469-533-9748

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	DR. CHRISTOPHER BENITEZ
Credential	:	DC
Telephone Number	:	469-312-3317

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “AWAKENEDONE, LLC ” Practice Location

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