Healthcare Provider Details

I. General information

NPI: 1316814221
Provider Name (Legal Business Name): BENJAMIN ANDREW FLINT APRN-CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6445 MAIN ST
HOUSTON TX
77030-1502
US

IV. Provider business mailing address

15430 REDBUD LEAF LN
CYPRESS TX
77433-5808
US

V. Phone/Fax

Practice location:
  • Phone: 713-441-5451
  • Fax: 713-791-5045
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1216079
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: