INTERNAL MEDICINE AND WOMENS AND CHILDRENS CLINIC PA (NPI# 1104040591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104040591 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE AND WOMENS AND CHILDRENS CLINIC PA |
| Practice Address |
1700 E Saunders St Laredo TX 78041-5401 |
| Mailing Address |
Po Box 2354 Laredo TX 78044-2354 |
| Practice Telephone | 9567965000 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD B DEBENEDETTO (OWNER) |
| Authorized Official Telephone | 8062365938 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
J9579 | TX | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | J9579 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1700 E SAUNDERS ST |
| City | LAREDO |
| State | TX |
| Zip Code | 78041-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861491821 | William M. Sealey | Nurse Anesthetist, Certified Registered | 1700 E Saunders St, Laredo, TX 78041-5474 | 2005-07-20 |
| 1962025189 | Luis Carlos Corral Pllc | Internal Medicine | 1700 E Saunders St, Laredo, TX 78041-5474 | 2020-05-21 |
| 1790304871 | Bernardo David Villafuerte | Family Medicine | 1700 E Saunders St, Laredo, TX 78041-5474 | 2020-04-09 |
| 1306475777 | Norma Gisela Atkinson | Student in an Organized Health Care Education/Training Program | 1700 E Saunders St, Laredo, TX 78041-5474 | 2020-04-07 |
| 1962031260 | Esha Mahmood | Student in an Organized Health Care Education/Training Program | 1700 E Saunders St, Laredo, TX 78041-5474 | 2020-04-07 |
| 1336778943 | David Tyler King | Student in an Organized Health Care Education/Training Program | 1700 E Saunders St, Laredo, TX 78041-5474 | 2020-04-06 |
| 1417586991 | David Westly Chisum | Student in an Organized Health Care Education/Training Program | 1700 E Saunders St, Laredo, TX 78041-5474 | 2020-04-06 |
| 1851920722 | Rayan S Qazi | Student in an Organized Health Care Education/Training Program | 1700 E Saunders St, Laredo, TX 78041-5474 | 2020-04-03 |
| 1619506615 | Fernando Reyes San Martin | Student in an Organized Health Care Education/Training Program | 1700 E Saunders St, Laredo, TX 78041-5474 | 2020-04-02 |
| 1083242135 | Luis M Guevara | Student in an Organized Health Care Education/Training Program | 1700 E Saunders St, Laredo, TX 78041-5474 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932769817 | Alejandra Alcaraz | Case Manager/Care Coordinator | 6548 Springfield Ave # 202, Laredo, TX 78041 | 2019-06-13 |
| 1003371238 | Karina A De Anda | Physical Therapy Assistant | 7109 N Bartlett Ave, Suite 109, Laredo, TX 78041 | 2019-02-01 |
| 1396200515 | Julissa Rebeca Vazquez | Physical Therapy Assistant | 7109 N Bartlett Ave., Suite 109, Laredo, TX 78041 | 2019-02-01 |
| 1982168720 | Alexander Garcia Madriaga | Physical Therapy Assistant | Regent Care Center, 7001 Mcpherson Avenue, Laredo, TX 78041 | 2019-01-25 |
| 1528538154 | Laredo Operator 2 Ltd. | Skilled Nursing Facility | 4301 North Bartlett Avenue, Laredo, TX 78041 | 2018-11-27 |
| 1639648488 | Lhkp Optometry Pllc | Optometrist | 5401 Mcpherson Rd Suite 10, Laredo, TX 78041 | 2018-11-21 |
| 1699244624 | Clear Choice Er, LLC | Clinic/Center | 7105 Bartlett Ave., Laredo, TX 78041 | 2018-11-20 |
| 1407337702 | Yvonne Denetre Cisneros | Speech-Language Pathologist | 1505 Calle Del Norte Ste 440-460, Laredo, TX 78041 | 2018-08-24 |
| 1811476765 | Christina Marie Dilley | Occupational Therapy Assistant | 4301 North Bartlett Ave., Laredo, TX 78041 | 2018-08-11 |
| 1023595386 | Motion Behavioral Health | Case Management | 6548 Springfield Ave Num 202, Laredo, TX 78041 | 2018-07-19 |
| Find all providers in zip 78041 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588842611 | Raul Sergio Cantu-willman | Emergency Medicine | 6410 Mcpherson Rd Ste 3, Laredo, TX 78041-6193 | 2008-01-31 |
| 1972595452 | Jose Manuel Garza | Emergency Medicine | 1316 Larry Ln, Laredo, TX 78045-1920 | 2005-08-19 |
| 1598031064 | Cleared for Duty | Emergency Medicine | 6826 Springfield Ave, Laredo, TX 78041-2213 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776208 | Atj Community Services | Emergency Medicine | 3636 Creek View Cir, Dallas, TX 75233-1704 | 2020-09-28 |
| 1053925636 | Code 4 Emergency Services LLC | Emergency Medicine | 1901 E 51st St, Austin, TX 78723-3040 | 2020-09-01 |
| 1912510710 | Post Oak Physician Group, Pllc | Emergency Medicine | 3101 Golfcrest Blvd, Houston, TX 77087-2405 | 2020-08-31 |
| 1063039790 | Victory Ambulance Care LLC | Emergency Medicine | 210b N 5th St, Carrizo Springs, TX 78834-3104 | 2020-06-29 |
| 1225652779 | Rgv Urgent Care Clinic Mcallen LLC | Emergency Medicine | 2812 W Nolana Ave Ste 210, Mcallen, TX 78504-4190 | 2020-06-01 |
| 1760022776 | Kyle Ip, Pllc | Emergency Medicine | 5615 Kyle Center Dr, Kyle, TX 78640-6553 | 2020-01-08 |
| 1659832160 | Red River Ep Pllc | Emergency Medicine | 2022 N Us Highway 75, Sherman, TX 75090-2802 | 2019-03-27 |
| 1588135024 | Scott Allen Frankel | Emergency Medicine | 5205 Pine St, Bellaire, TX 77401-4820 | 2018-12-10 |
| 1104324433 | Anc Physicians Group Pllc | Emergency Medicine | 1860 S Seguin Ave Ste 400, New Braunfels, TX 78130-3915 | 2018-02-01 |
| 1780197574 | 4642 N Mesa Er Physicians Pllc | Emergency Medicine | 4642 N Mesa St., El Paso, TX 79912 | 2017-11-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.