Dax Physical Medicine P C
Organization Active NPI Orthopedic Chiropractor · San Benito, TX
NPI 1437316627 · NPPES record last updated Jan 7, 2010
Key facts
- NPI
- 1437316627
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopedic Chiropractor 111NX0800X
- License
- 2923 (TX)
- Legal business name
- DAX PHYSICAL MEDICINE P C
- Practice address
- 400 W Hwy 77
San Benito, TX 78586-5148 - Phone
- (956) 399-2169
- Fax
- (956) 399-0312
- NPI assigned
- May 16, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- DAX PHYSICAL MEDICINE MANAGEMENT
Authorized official
- Name
- Dr. Jean-Scott Bendiks, DC
- Title
- Cwner
- Phone
- (956) 399-2169
Practitioners 1
-
Jean S Bendiks, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100317000787 | TX | Part B Supplier - Clinic/Group Practice | 6507991429 |
Receives reassigned benefits from 1 practitioner Practice locations: Harlingen, TX |
National Provider Directory
- Part of
- Dax Physical Medicine P C
Locations
222 E Van Buren Ave
Ste 402
Harlingen, TX 78550
Phone (956) 440-7336
1214 Dixieland Rd
Ste 8
Harlingen, TX 78552
Phone (956) 423-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor |
111NX0800X | 2923 | TX | Yes |
Addresses
Primary practice location
400 W Hwy 77
San Benito, TX 78586-5148
Mailing address
400 W Hwy 77
San Benito, TX 78586-5148
Phone (956) 399-2169
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M1990 | Other | TX | BCBS |
Other providers in San Benito, TX
- CPR DME LLC
- Candy Cruz
- Cutting Edge PHC, LLC
- Daily Blessing Home Care LLC
- Carol Lynn Daiser
- Sergio De la Garza
- De la Rosa and Martinez Dentistry PLLC
- Serapio De la Rosa Jr.
- Juan Manuel De Leon
- Velma L. De Leon
All providers in San Benito, TX · Orthopedic Chiropractor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.