Jose Benamu M.D. P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K1358 Issued in TX

Legal business name

JOSE BENAMU M.D. P.A.

Practice address

1155 Gregory St
Taft, TX 78390-3015

Phone

(361) 528-4000

Fax

(361) 528-3711

NPI assigned

Jan 12, 2011

Last updated

Jan 12, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra Wolfe

Title

Office Manager

Phone

(361) 528-4000

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victor Melgoza, MD

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1730189838
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1871898429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 GREGORY ST",
            "city": "TAFT",
            "state": "TX",
            "postal_code": "783903015",
            "telephone_number": "361-528-4000",
            "fax_number": "361-528-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 GREGORY ST",
            "city": "TAFT",
            "state": "TX",
            "postal_code": "783903015",
            "telephone_number": "361-528-4000",
            "fax_number": "361-528-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE BENAMU M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "361-528-4000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096267201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0011CJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles D Kolb DDS Inc
• City of Taft
• Elite Coastal Surgical Assist
• Veronica Gonzalez, CPM LM
• Caitlyn Martha Grace Hornsby
• Charles Douglas Kolb, D.D.S.
• Jonathan Charles Kolb, D.D.S.
• Rachael Marie Loudon-Castillo, FNP-C
• Kim A. Polasek, P.T.
• Rural Health Solutions PA (Taft Family Health Clinic)

• Internal Medicine Physician in Taft, TX
• Providers in Taft, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.