Provider Demographics
NPI:1982234852
Name:BENSON, ADRIANA (PA)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:BENSON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4767
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4767
Mailing Address - Country:US
Mailing Address - Phone:956-362-5030
Mailing Address - Fax:956-362-5035
Practice Address - Street 1:1421 N COL ROWE BLVD STE A
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2304
Practice Address - Country:US
Practice Address - Phone:956-362-5030
Practice Address - Fax:956-362-5035
Is Sole Proprietor?:No
Enumeration Date:2020-01-20
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA12927363A00000X, 207PE0004X, 251E00000X, 251G00000X, 363A00000X
174H00000X, 247ZC0005X, 261Q00000X, 310400000X, 311500000X, 311Z00000X, 320700000X, 385H00000X
TXRCP00077263227900000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No174H00000XOther Service ProvidersHealth Educator
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
No247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No385H00000XRespite Care FacilityRespite Care