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Organization
JOSE BENAMU M.D. P.A.
Active
Organization
JOSE BENAMU M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA WOLFE (OFFICE MANAGER)
(361) 528-4000
Entity
Organization
Contact information
Practice address
1155 GREGORY ST, TAFT, TX 78390-3015
(361) 528-4000
(361) 528-3711
Mailing address
1155 GREGORY ST, TAFT, TX 78390-3015
(361) 528-4000
(361) 528-3711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K1358
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011CJ
BLUE CROSS BLUE SHEILD
TX
05
—
096267201
—
TX
Enumeration date
01/12/2011
Last updated
01/12/2011
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