Individual
BENJAMIN ANDREW DEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 FEDERAL PLZ, HOUSTON, TX 77092-1704
(281) 580-9030
(281) 580-2725
Mailing address
4438 LEELAND ST, APT 3, HOUSTON, TX 77023-3044
(832) 242-1200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M1623
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M1623
TEXAS STATE LICENSE
TX
Enumeration date
06/15/2006
Last updated
04/15/2021
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