Individual
DR. LESLY BENODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7026 OLD KATY RD, SUITE 276, HOUSTON, TX 77024-2133
(713) 621-7436
(713) 963-9051
Mailing address
7026 OLD KATY RD, SUITE 276, HOUSTON, TX 77024-2133
(713) 621-7436
(713) 963-9051
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
12640
NH
2085R0202X
Diagnostic Radiology Physician
Primary
N9353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012360
—
VT
05
—
30205855
—
NH
01
—
TBX161332
MEDICARE PTAN
TX
Enumeration date
07/15/2006
Last updated
10/19/2015
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