Provider Demographics
NPI:1902428212
Name:GREINER, BENJAMIN HOUSTON (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:HOUSTON
Last Name:GREINER
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6600 S YALE AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3363
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6600 S YALE AVE STE 600
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3363
Practice Address - Country:US
Practice Address - Phone:918-491-5990
Practice Address - Fax:918-488-6673
Is Sole Proprietor?:No
Enumeration Date:2020-05-08
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10071313207R00000X
OK7948207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine