Provider Demographics
NPI:1891823480
Name:BENCHMARK THERAPEUTICS, LLC
Entity Type:Organization
Organization Name:BENCHMARK THERAPEUTICS, LLC
Other - Org Name:BENCHMARK PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCELA
Authorized Official - Middle Name:C
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-969-1496
Mailing Address - Street 1:1400 N WESTGATE DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-3996
Mailing Address - Country:US
Mailing Address - Phone:956-969-1496
Mailing Address - Fax:956-969-1497
Practice Address - Street 1:1400 N WESTGATE DR
Practice Address - Street 2:SUITE 203
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-3996
Practice Address - Country:US
Practice Address - Phone:956-969-1496
Practice Address - Fax:956-969-1497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy