MEDICARE: BEN H ECHOLS, M.D., P.A.

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	207RG0100X	Gastroenterology Physician	F6227	TX

General Provider Information

NPI Number	:	1508080839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEN H ECHOLS, M.D., P.A.

Provider Business Mailing Address
First Line	:	2616 SOUTH LOOP WEST
Second Line	:	SUITE 235
City	:	HOUSTON
State	:	TX
Zip	:	77054-2662
Country	:	US
Telephone Number	:	713-664-3332
Fax Number	:	713-664-5232

Provider Business Practice Location Address
First Line	:	2616 SOUTH LOOP W
Second Line	:	SUITE 235
City	:	HOUSTON
State	:	TX
Zip	:	77054-2662
Country	:	US
Telephone Number	:	713-664-3332
Fax Number	:	713-664-5232

Authorized Official
Title or Position	:	DIRECTOR
Name	:	BEN HARRIS ECHOLS
Credential	:	M.D.
Telephone Number	:	713-664-3332

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	08/22/2020

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