Individual
DR. BENJAMIN WEST CILENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2940 FM 2920 RD, SUITE 100, SPRING, TX 77388-3427
(346) 413-9313
(281) 901-5334
Mailing address
2940 FM 2920 RD, SUITE 100, SPRING, TX 77388-3427
(346) 413-9313
(281) 901-5334
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
N5629
TX
207YS0123X
Facial Plastic Surgery Physician
N5629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB102309
MEDICARE PTAN
TX
01
—
TXB107759
MEDICARE PTAN
TX
01
—
TXB107760
MEDICARE PTAN
TX
Enumeration date
11/15/2005
Last updated
05/21/2020
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