Jose B. Benigno Medical Clinic, P.a. | |
115 W 42nd St Odessa TX 79764-4001 | |
(432) 367-4817 | |
Not Available |
Full Name | Jose B. Benigno Medical Clinic, P.a. |
---|---|
Speciality | Clinic/Center |
Location | 115 W 42nd St, Odessa, Texas |
Authorized Official Name and Position | Jose Bato Benigno (PRESIDENT / SECRETARY) |
Authorized Official Contact | 4323674817 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jose B. Benigno Medical Clinic, P.a. 115 W 42nd St Odessa TX 79764-4001 Ph: (432) 367-4817 | Jose B. Benigno Medical Clinic, P.a. 115 W 42nd St Odessa TX 79764-4001 Ph: (432) 367-4817 |
NPI Number | 1841380615 |
---|---|
Provider Enumeration Date | 10/13/2006 |
Last Update Date | 11/05/2010 |
Medicare PECOS PAC ID | 3476444027 |
---|---|
Medicare Enrollment ID | O20040323000670 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841380615 | NPI | - | NPPES |
171721701 | Medicaid | TX | |
171721702 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | K9021 (Texas) | Primary |
Provider Name | Jose B Benigno |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1881784643 PECOS PAC ID: 0042120545 Enrollment ID: I20040323000811 |
John H. Doran,m.d., P.l.lc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Dotsy Ave, Odessa, TX 79763 Phone: 432-333-3295 Fax: 432-333-8840 | |
Permian Women's Center, P.a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 405 N Tom Green Ave, Odessa, TX 79761 Phone: 432-580-9876 | |
Sing Dy Uy,md Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2461-a East 11th St, Odessa, TX 79761 Phone: 432-334-8845 Fax: 432-334-8875 | |
University Prompt Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2651 Kermit Hwy, Odessa, TX 79763 Phone: 432-333-3637 | |
Scotty Ortega Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4415 Hinkle St, Odessa, TX 79762 Phone: 432-940-3240 | |
Ahmed Hassan, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 325-763-8473 | |
Permian Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 E 2nd Suite A, Odessa, TX 79761 Phone: 432-332-3400 Fax: 432-332-6500 |