MEDICARE: BENJAMIN BORJA TIONGSON 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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	J9828	TX

General Provider Information

NPI Number	:	1427048586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN BORJA TIONGSON MD

Provider Business Mailing Address
First Line	:	4543 POST OAK PLACE DRIVE
Second Line	:	SUITE #189
City	:	HOUSTON
State	:	TX
Zip	:	77027
Country	:	US
Telephone Number	:	713-665-6076
Fax Number	:	713-665-8866

Provider Business Practice Location Address
First Line	:	4543 POST OAK PLACE DRIVE
Second Line	:	SUITE #189
City	:	HOUSTON
State	:	TX
Zip	:	77027
Country	:	US
Telephone Number	:	713-665-6076
Fax Number	:	713-665-8866

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

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	12/08/2022

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