Doctor Name: | MR. BENJAMIN PAUL MINTER |
NPI Number: | 1982900452 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPSGT |
License Number: | $$$$$$$$$ |
Business Practice Address: | 24303 Rockin Seven Dr Hockley, TX - 774479295 |
Business Phone Number: | 2812133087 |
Business Fax Number: | 2813983932 |
Mailing Address: | 24303 Rockin Seven Dr, HOCKLEY |
State: | TX |
Postal Code: | 774479295 |
Phone Number: | 2812133087 |
Fax Number: | 2813983932 |
NPI Enumeration Date: | 02/01/2011 |
NPI Last Update Date: | 02/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | $$$$$$$$$ |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |