Individual
DR. BENJAMIN PAUL ILIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 292-7805
(210) 292-7868
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-2153
(210) 916-0709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
76731-21
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
76731-21
WI
207RP1001X
Pulmonary Disease Physician
Primary
76731-21
WI
208D00000X
General Practice Physician
76731-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/19/2020
Last updated
05/15/2026
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