Kevin Benson, MD | |
3001 Jbs Pkwy, Odessa, TX 79762-8126 | |
(432) 640-6772 | |
(432) 640-4708 |
Full Name | Kevin Benson |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3001 Jbs Pkwy, Odessa, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326061086 | NPI | - | NPPES |
132606108601 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | Q5759 (Texas) | Primary |
Entity Name | Midland Community Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235225087 PECOS PAC ID: 0345230975 Enrollment ID: O20040515000364 |
Mailing Address | Practice Location Address |
---|---|
Kevin Benson, MD Po Box 2129, Odessa, TX 79760-2129 Ph: (432) 640-6600 | Kevin Benson, MD 3001 Jbs Pkwy, Odessa, TX 79762-8126 Ph: (432) 640-6772 |
Dr. Carlos Nieto Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1500 Fax: 432-335-1537 | |
Dr. Stephanie Villarreal, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-2222 | |
Manisha Mahadev Desai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 29 Dolores Ct, Odessa, TX 79765 Phone: 432-561-8797 | |
Randa N. A Othman, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1421 Fax: 432-335-1807 | |
Dr. Venkataramana P. Garikiparthy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5150 | |
Dr. Raul Chavez Valdez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-5270 | |
Manjula Mudduluru, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5310 Fax: 432-335-5354 |