Search › Texas › 363LA2100X
Benjamin Favela
NPI 1154261469 · on the registry since 2026 · sole proprietor
Practice
- Address
- 705 Lloyd Ave
Fort Worth, TX 76103 - Phone
- (682) 472-6622
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas