Individual
BENJAMIN P FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1313 HERMANN DR STE 270, HOUSTON, TX 77004-7005
(713) 527-5270
Mailing address
149 BERNARD ST, EUNICE, LA 70535-4201
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP08140
LA
Other
Enumeration date
05/10/2011
Last updated
01/23/2015
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