Individual
BENJAMIN LEE PORTNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 BINZ STREET, SUITE 1290, HOUSTON, TX 77004-6937
(713) 524-8700
(713) 524-2910
Mailing address
8390 CHAMPIONS GATE BLVD, SUITE 215, CHAMPIONS GATE, FL 33896-8310
(407) 390-1677
(407) 390-1765
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
E0359
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097569001
—
TX
Enumeration date
01/26/2006
Last updated
07/22/2016
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