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1487363065
CODY MATNEY BENAVIDEZ
FORT BLISS, TX
NPI
1487363065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
171000000X Military Health Care Provider
Enumeration Date
2022-11-22
Last Update Date
2023-12-04
Business Address
CODY MATNEY BENAVIDEZ PA-C
11335 SSG SIMS ST
FORT BLISS, TX 79918
Phone number: 915-742-1261
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Mailing Address
CODY MATNEY BENAVIDEZ PA-C
11335 SSG SIMS ST SOLDIER CARE
FORT BLISS, TX 79918
Phone number: 915-742-1261
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