MEDICARE: DR. BENJAMIN LESLIE WEINSTEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	2009-01083	NC
2	2084N0400X	Neurology Physician	2009-01083	NC
3	2084P0800X	Psychiatry Physician	21920	SC
4	2084P0800X	Psychiatry Physician	44409	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427166388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN LESLIE WEINSTEIN MD

Provider Business Mailing Address
First Line	:	6550 FANNIN ST
Second Line	:	SMITH TOWER, SUITE 2509
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	346-238-2040
Fax Number	:	713-383-9026

Provider Business Practice Location Address
First Line	:	6550 FANNIN ST
Second Line	:	SMITH TOWER, SUITE 2509
City	:	HOUSTON
State	:	TX
Zip	:	77030-7703
Country	:	US
Telephone Number	:	346-238-2040
Fax Number	:	713-383-9026

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	10/21/2019

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