Provider Demographics
NPI:1316746175
Name:BENAVIDES, DAYLIA (PA)
Entity type:Individual
Prefix:
First Name:DAYLIA
Middle Name:
Last Name:BENAVIDES
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6117 COVINGTON DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-3278
Mailing Address - Country:US
Mailing Address - Phone:972-804-4504
Mailing Address - Fax:
Practice Address - Street 1:4501 SWISS AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-7119
Practice Address - Country:US
Practice Address - Phone:214-820-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-12
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty