Healthcare Provider Details

I. General information

NPI: 1285111021
Provider Name (Legal Business Name): BENCHMARK INPATIENT SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 S SESAME SQ STE 10
HARLINGEN TX
78550-7941
US

IV. Provider business mailing address

1821 S SESAME SQ STE 10
HARLINGEN TX
78550-7941
US

V. Phone/Fax

Practice location:
  • Phone: 956-496-2048
  • Fax: 956-265-1129
Mailing address:
  • Phone: 956-496-2048
  • Fax: 956-265-1129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: RUSSELL A YOUNG
Title or Position: DIRECTOR
Credential:
Phone: 956-371-9990