Organization Active NPI

Benish & Associates PLLC

  • Physician Assistant
  • Wichita Falls, TX
National Provider Identifier
1922376805
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
BENISH & ASSOCIATES PLLC
Practice address
1722 9TH St
Wichita Falls, TX 76301-5003
Phone
(940) 322-1075
Fax
(940) 322-1614
NPI assigned
Dec 7, 2011
Last updated
Dec 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Randy E. Benish, PA-C
Title
Owner/Sole Member
Phone
(940) 322-1075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

1722 9TH St
Wichita Falls, TX 76301-5003

Mailing address

1722 9TH St
Wichita Falls, TX 76301-5003
Phone (940) 322-1075

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1922376805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 9TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015003",
            "telephone_number": "940-322-1075",
            "fax_number": "940-322-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 9TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015003",
            "telephone_number": "940-322-1075",
            "fax_number": "940-322-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENISH & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "BENISH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "940-322-1075",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.