Provider Demographics
NPI:1538291406
Name:HARLINGEN WOMEN'S HEALTH CLINIC L.L.C
Entity Type:Organization
Organization Name:HARLINGEN WOMEN'S HEALTH CLINIC L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BENAVIDES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-428-6601
Mailing Address - Street 1:2121 PEASE ST
Mailing Address - Street 2:SUITE 3D
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8348
Mailing Address - Country:US
Mailing Address - Phone:956-428-6601
Mailing Address - Fax:956-412-3352
Practice Address - Street 1:2121 PEASE ST
Practice Address - Street 2:SUITE 3D
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8348
Practice Address - Country:US
Practice Address - Phone:956-428-6601
Practice Address - Fax:956-412-3352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7996261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0093KBOtherBLUE CROSS BLUE SHIELD
TX00850WMedicare ID - Type Unspecified
TXE22641Medicare UPIN