| Jose Benamu M.d. P.a. | |
|
1155 Gregory St Taft TX 78390-3015 | |
| (361) 528-4000 | |
| (361) 528-3711 |
| Full Name | Jose Benamu M.d. P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1155 Gregory St, Taft, Texas |
| Authorized Official Name and Position | Debra Wolfe (OFFICE MANAGER) |
| Authorized Official Contact | 3615284000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Benamu M.d. P.a. 1155 Gregory St Taft TX 78390-3015 Ph: (361) 528-4000 | Jose Benamu M.d. P.a. 1155 Gregory St Taft TX 78390-3015 Ph: (361) 528-4000 |
| NPI Number | 1871898429 |
|---|---|
| Provider Enumeration Date | 01/12/2011 |
| Last Update Date | 01/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871898429 | NPI | - | NPPES |
| 096267201 | Medicaid | TX | |
| 0011CJ | Other | TX | BLUE CROSS BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K1358 (Texas) | Primary |
Taft Family Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1210 Gregory, Suite # 2, Taft, TX 78390 Phone: 361-528-2595 Fax: 361-528-3452 |