Provider Demographics
NPI:1770829749
Name:BENJAMIN, ANNIE ZACHARIAH (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ANNIE
Middle Name:ZACHARIAH
Last Name:BENJAMIN
Suffix:
Gender:F
Credentials:PMHNP-BC
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Mailing Address - Street 1:15200 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3845
Mailing Address - Country:US
Mailing Address - Phone:281-835-5636
Mailing Address - Fax:281-835-5636
Practice Address - Street 1:2800 S MACGREGOR WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021
Practice Address - Country:US
Practice Address - Phone:713-741-6963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-20
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX733303363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health