Healthcare Provider Details

I. General information

NPI: 1013956176
Provider Name (Legal Business Name): BENSON YU HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 05/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 E SAUNDERS ST STE B 290
LAREDO TX
78041-5443
US

IV. Provider business mailing address

PO BOX 2889
LAREDO TX
78044-2889
US

V. Phone/Fax

Practice location:
  • Phone: 956-794-8880
  • Fax: 956-794-8882
Mailing address:
  • Phone: 956-794-8880
  • Fax: 956-794-8882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberJ7006
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: