Provider Demographics
NPI:1932398732
Name:BENSON YU HUANG, M.D, PA
Entity Type:Organization
Organization Name:BENSON YU HUANG, M.D, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BENSON
Authorized Official - Middle Name:YU
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-794-8880
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 STE 290
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5447
Practice Address - Country:US
Practice Address - Phone:956-794-8880
Practice Address - Fax:956-794-8882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7006207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151708802Medicaid
TX151708801Medicaid
TX151708802Medicaid