Healthcare Provider Details

I. General information

NPI: 1558024885
Provider Name (Legal Business Name): BENJAMIN PATRICK OBRIEN NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 ECHO LN STE 350
HOUSTON TX
77024-2750
US

IV. Provider business mailing address

245 SUGARBERRY CIR
HOUSTON TX
77024-7266
US

V. Phone/Fax

Practice location:
  • Phone: 832-639-2015
  • Fax:
Mailing address:
  • Phone: 303-728-4431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1174754
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0997005-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0997005-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: