Provider Demographics
NPI:1710582036
Name:BENECH FAMILY CARE LLC
Entity Type:Organization
Organization Name:BENECH FAMILY CARE LLC
Other - Org Name:CLINICA FAMILIAR NUESTRA AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINO
Authorized Official - Middle Name:
Authorized Official - Last Name:BENECH JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:281-500-6090
Mailing Address - Street 1:6223 BELLAIRE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-4901
Mailing Address - Country:US
Mailing Address - Phone:281-500-6090
Mailing Address - Fax:281-500-6075
Practice Address - Street 1:6223 BELLAIRE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4901
Practice Address - Country:US
Practice Address - Phone:281-500-6090
Practice Address - Fax:281-500-6075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-03
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty