Benavides, Blake

Benavides, Blake is an individual health care provider with primary practice located at 2407 W Louisiana Ave Ste 110 , Midland TX 79701-5826. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Benavides, Blake can be contacted via phone (143) 257-0440.

Contact Information

Primary practice address
2407 W Louisiana Ave Ste 110 Midland TX 79701-5826
Phone: (143) 257-0440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1811663891
LBN Legal business name Benavides, Blake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2021
Last updated Aug 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811663891 NPPES
Texas Other 117394 TSHA

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