Individual
AGNES SARAH BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
12505 MEMORIAL DR STE 230, HOUSTON, TX 77024-6051
(844) 824-8775
Mailing address
12505 MEMORIAL DR STE 230, HOUSTON, TX 77024-6051
(844) 824-8775
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1059964
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
69424
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61347211
WA
Other
Enumeration date
01/20/2022
Last updated
11/04/2024
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