Organization
TESSERACT VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN WISEMAN MD (OWNER)
(804) 323-8282
Entity
Organization
Contact information
Practice address
2810 N PARHAM RD STE 120, RICHMOND, VA 23294-4422
(804) 288-1881
Mailing address
2810 N PARHAM RD STE 120, RICHMOND, VA 23294-4422
(804) 288-1881
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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