Individual
MICHAEL JOHN BENCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
P7245
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1F1019
MEDICARE
TX
01
—
1F9898
MEDICARE LOHP
—
05
—
347209402
—
TX
05
—
347209403
—
TX
01
—
P02531938
MEDICARE RAIL ROAD
TX
01
—
P02539564
RR MEDICARE LOHP
—
Enumeration date
08/30/2006
Last updated
06/02/2021
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