Provider Demographics
NPI:1982900452
Name:MINTER, BENJAMIN PAUL I (RPSGT)
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:PAUL
Last Name:MINTER
Suffix:I
Gender:M
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24303 ROCKIN SEVEN DR
Mailing Address - Street 2:
Mailing Address - City:HOCKLEY
Mailing Address - State:TX
Mailing Address - Zip Code:77447-9295
Mailing Address - Country:US
Mailing Address - Phone:281-213-3087
Mailing Address - Fax:281-398-3932
Practice Address - Street 1:24303 ROCKIN SEVEN DR
Practice Address - Street 2:
Practice Address - City:HOCKLEY
Practice Address - State:TX
Practice Address - Zip Code:77447-9295
Practice Address - Country:US
Practice Address - Phone:281-213-3087
Practice Address - Fax:281-398-3932
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic