Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 99203 | TX |
NPI | 1003229105 |
---|---|
Provider Name | Danielle Benito |
First Address | Argyle, TX 76226-4317 |
Second Address | Argyle, TX 76226-4317 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2014 |
Last Update Date | 05/06/2014 |