MEDICARE: BRIAN BENITEZ

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	2255A2300X	Athletic Trainer	AT5982	TX

General Provider Information

NPI Number	:	1871993790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN BENITEZ

Provider Business Mailing Address
First Line	:	5025 HIGHRIDGE DR
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-4930
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5025 HIGHRIDGE DR
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-4930
Country	:	US
Telephone Number	:	469-879-5330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2014
Last Update Date	:	08/27/2014

Similar Medicare Providers

1942552690 — ARTHUR DAVID MALLINSON LPC' MDIV, MRE
Practice Location Address:

5242 TURTLE COVE RD
GARLAND, TX
75044-4930

Practice Phone: 972-365-3513
Practice Fax:

1205653607 — ELEVATE INNOVATIONS LLC
Practice Location Address:

4274 DUCK CREEK DR # 12-106
GARLAND, TX
75043-6985

Practice Phone: 984-304-5676
Practice Fax:

1255541652 — SINU K GEORGE OTR
Practice Location Address:

3960 BROADWAY BLVD STE 220V
GARLAND, TX
75043-8335

Practice Phone: 214-444-7161
Practice Fax:

1356297758 — ENDRANGE PHYSICAL THERAPY, PLLC
Practice Location Address:

610 SEVILLA DR
GARLAND, TX
75043-5140

Practice Phone: 214-850-7510
Practice Fax:

1598994220 — RACHNA TIWARI DPM
Practice Location Address:

6330 BROADWAY BLVD STE D2
GARLAND, TX
75043-5956

Practice Phone: 972-226-0774
Practice Fax: 214-217-3669

1952258410 — WELLNESS MEDICAL DIAGNOSTICS LLC
Practice Location Address:

310 E INTERSTATE 30
GARLAND, TX
75043-8000

Practice Phone: 945-333-5458
Practice Fax:

Directions to “ BRIAN BENITEZ ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.