Provider Demographics
NPI:1033272869
Name:SAMUEL E BENSON III
Entity type:Organization
Organization Name:SAMUEL E BENSON III
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:III
Authorized Official - Credentials:EMT
Authorized Official - Phone:956-457-8343
Mailing Address - Street 1:2205 W JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-7244
Mailing Address - Country:US
Mailing Address - Phone:956-457-8343
Mailing Address - Fax:610-401-2101
Practice Address - Street 1:417 E CEDAR AVE
Practice Address - Street 2:STE I
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-8729
Practice Address - Country:US
Practice Address - Phone:956-457-8343
Practice Address - Fax:610-401-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8002183416L0300X
343900000X, 343800000X, 347C00000X, 347B00000X, 3416S0300X, 3416A0800X, 344600000X, 347E00000X
TX341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347B00000XTransportation ServicesBus
No3416S0300XTransportation ServicesAmbulanceWater Transport
No3416A0800XTransportation ServicesAmbulanceAir Transport
No344600000XTransportation ServicesTaxi
No347E00000XTransportation ServicesTransportation Broker