Individual
BENJAMIN HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FDN
Contact information
Practice address
14301 HUNTERS PASS, AUSTIN, TX 78734
(512) 579-6843
Mailing address
14301 HUNTERS PASS, AUSTIN, TX 78734
(512) 579-6843
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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