Individual
LAURA J BENJAMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
6410 FANNIN ST STE 500, HOUSTON, TX 77030-3005
(832) 325-7111
(713) 512-2227
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
K8877
TX
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
K8877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186145201
—
TX
01
—
186145202
CSHCN
TX
01
—
8W7645
BCBS
TX
Enumeration date
05/10/2007
Last updated
02/06/2021
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