National Provider Identifier Database

BENNETT J EZEKIEL, MD – NPI #1477734721
Interventional Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.


Contact Information

BENNETT J EZEKIEL, MD
1900 SCENIC DR STE 1108
GEORGETOWN, TX78626-7724
Phone: 512-400-4195
Fax: 512-287-5563
Website:
Specialty Taxonomy Code
* Interventional Pain Medicine 208VP0014X
Pain Medicine 2081P2900X
Physical Medicine & Rehabilitation 208100000X

* Indicates primary specialty

NPI Profile & details for BENNETT J EZEKIEL

NPI Number 1477734721
Credentials MD
Entity Individual
Enumeration date 11/15/2007
Last updated 02/17/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • TX License #: N6287
  • TX Medicaid: 282030002
  • TX Medicaid: 282030003
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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