NPI Code Details Logo

NPI 1811923360

NPI 1811923360 : RICHARD SETH BENEDON M.D. : PFLUGERVILLE, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1811923360
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    RICHARD SETH BENEDON M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/25/2006
-----------------------------------------------------
    Last Update Date     |    10/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    900 RAMBLE CREEK DR 
-----------------------------------------------------
    City                 |    PFLUGERVILLE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78660-2151
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    818-389-2526
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    900 RAMBLE CREEK DR 
-----------------------------------------------------
    City                 |    PFLUGERVILLE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78660-2151
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    818-389-2526
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207PH0002X
-----------------------------------------------------
    Taxonomy Name        |    Hospice and Palliative Medicine (Emergency Medicine) Physician
-----------------------------------------------------
    License Number       |    W0873
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.