Luis Rey Benavides, MD | |
500 W 4th St, Odessa, TX 79761-5001 | |
(432) 640-2834 | |
(432) 640-2834 |
Full Name | Luis Rey Benavides |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 500 W 4th St, 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 |
---|---|---|---|
1912055674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M3809 (Texas) | Secondary |
208M00000X | Hospitalist | M3809 (Texas) | Primary |
Entity Name | Mch Professional Care Hospital Based |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447547773 PECOS PAC ID: 1557535127 Enrollment ID: O20111116000437 |
Mailing Address | Practice Location Address |
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Luis Rey Benavides, MD Po Box 2129, Odessa, TX 79760-2129 Ph: (432) 640-2834 | Luis Rey Benavides, MD 500 W 4th St, Odessa, TX 79761-5001 Ph: (432) 640-2834 |
Domingo Caparas, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-2834 Fax: 432-640-2897 | |
Sridhar Enuganti, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 Fax: 432-640-3462 | |
Fouzia Tabasam, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 Fax: 432-640-3462 | |
Anam Hassan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5375 | |
Sudhir Bare, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-2834 Fax: 432-640-2897 | |
Elliana Regina Wiesner, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 Fax: 432-640-4606 | |
Ramcharitha Kandikatla, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 Fax: 432-640-2897 |