Provider Demographics
NPI:1013956176
Name:HUANG, BENSON YU (MD)
Entity type:Individual
Prefix:DR
First Name:BENSON
Middle Name:YU
Last Name:HUANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2889
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78044-2889
Mailing Address - Country:US
Mailing Address - Phone:956-794-8880
Mailing Address - Fax:956-794-8882
Practice Address - Street 1:1710 E SAUNDERS ST
Practice Address - Street 2:STE B 290
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5443
Practice Address - Country:US
Practice Address - Phone:956-794-8880
Practice Address - Fax:956-794-8882
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7006207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151708802Medicaid
TX123996409Medicaid
TX8775B6Medicare PIN
TXF94337Medicare UPIN
TX00701TMedicare PIN