Individual
DR. BENJAMIN EDERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
7737 SOUTHWEST FREEWAY, STE 750, HOUSTON, TX 77074-1878
(713) 981-1802
Mailing address
7737 SOUTHWEST FREEWAY, STE 750, HOUSTON, TX 77074-1878
(713) 981-1802
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F0988
TX
207NS0135X
Procedural Dermatology Physician
F0988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033043302
—
TX
Enumeration date
09/05/2006
Last updated
10/24/2007
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