Individual
DR. BENJAMIN JOHN WALLISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1515 HOLCOMBE BLVD STE 409, MD ANDERSON DEPARTMENT OF ANESTHESIOLOGY, HOUSTON, TX 77030-4000
(713) 647-6547
Mailing address
1515 HOLCOMBE BLVD STE 409, MD ANDERSON DEPARTMENT OF ANESTHESIOLOGY, HOUSTON, TX 77030-4000
(713) 647-6547
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
02002883A
IN
207L00000X
Anesthesiology Physician
Primary
M7738
TX
Other
Enumeration date
11/09/2005
Last updated
05/23/2024
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