Provider Demographics
NPI:1427559228
Name:BENAVIDES, JULIA (NP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:BENAVIDES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7597 HALO AVE N # NA
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-3812
Mailing Address - Country:US
Mailing Address - Phone:956-639-9106
Mailing Address - Fax:
Practice Address - Street 1:7434 LOUIS PASTEUR DR STE 209
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4540
Practice Address - Country:US
Practice Address - Phone:210-761-9001
Practice Address - Fax:800-852-8610
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2025-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX319438164X00000X
TX1198884363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No164X00000XNursing Service ProvidersLicensed Vocational Nurse