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NPI Code Detail

MEDICARE: BENJAMIN DAVID BELFORT PHD

MEDICARE:   BENJAMIN DAVID BELFORT  PHD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramTX

General Provider Information

NPI Number : 1568319457
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN DAVID BELFORT PHD
Provider Business Mailing Address
First Line : 1 BAYLOR PLZ
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3498
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 BAYLOR PLZ
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3498
Country : US
Telephone Number : 435-640-6732
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ BENJAMIN DAVID BELFORT PHD” Practice Location

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