MEDICARE: DR. RICHARD SETH BENEDON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PH0002X	Hospice and Palliative Medicine (Emergency Medicine) Physician	W0873	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811923360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD SETH BENEDON M.D.

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

Provider Business Practice Location Address
First Line	:	900 RAMBLE CREEK DR
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-2151
Country	:	US
Telephone Number	:	818-389-2526
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	10/24/2025

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