Provider Demographics
NPI:1649596776
Name:HULL, BENJAMIN PETER (MD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:PETER
Last Name:HULL
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 1:324 W MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-3854
Mailing Address - Country:US
Mailing Address - Phone:972-420-7212
Mailing Address - Fax:972-420-8812
Practice Address - Street 1:324 W MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-3854
Practice Address - Country:US
Practice Address - Phone:972-420-7212
Practice Address - Fax:972-420-8812
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU2874207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology