| Benjamin Interiano M.d. P.a. | |
|
7737 Southwest Fwy Suite 640 Houston TX 77074-1807 | |
| (713) 988-1699 | |
| (713) 988-4892 |
| Full Name | Benjamin Interiano M.d. P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7737 Southwest Fwy, Houston, Texas |
| Authorized Official Name and Position | Rita Interiano (OFFICE MANAGER) |
| Authorized Official Contact | 7139881699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Interiano M.d. P.a. 7737 Southwest Fwy Suite 640 Houston TX 77074-1807 Ph: (713) 988-1699 | Benjamin Interiano M.d. P.a. 7737 Southwest Fwy Suite 640 Houston TX 77074-1807 Ph: (713) 988-1699 |
| NPI Number | 1902109945 |
|---|---|
| Provider Enumeration Date | 12/14/2010 |
| Last Update Date | 10/27/2011 |
| Medicare PECOS PAC ID | 0143493809 |
|---|---|
| Medicare Enrollment ID | O20111026000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902109945 | NPI | - | NPPES |
| H6858 | Other | TX | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | H6858 (Texas) | Primary |
| Provider Name | Benjamin Interiano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144222159 PECOS PAC ID: 1052584711 Enrollment ID: I20111101000135 |
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