Provider Demographics
NPI:1093911695
Name:HOOKER, BENJAMIN OWEN (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:OWEN
Last Name:HOOKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10010 ROGERS XING STE 308
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4776
Mailing Address - Country:US
Mailing Address - Phone:210-598-5605
Mailing Address - Fax:210-598-5620
Practice Address - Street 1:10010 ROGERS XING STE 308
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4776
Practice Address - Country:US
Practice Address - Phone:210-598-5605
Practice Address - Fax:210-598-5620
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0229208VP0000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX300876502Medicaid
TX426384YXAJMedicare PIN