Individual
BENJAMIN HUNTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST STE 350, HOUSTON, TX 77030-3004
(832) 325-7131
Mailing address
6410 FANNIN ST STE 350, HOUSTON, TX 77030-3004
(832) 325-7131
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
P3896
TX
207Q00000X
Family Medicine Physician
503OL33918961
TX
207Q00000X
Family Medicine Physician
DR.0056087
CO
207Q00000X
Family Medicine Physician
Primary
P3896
TX
Other
Enumeration date
06/02/2011
Last updated
12/01/2020
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