Individual
BEN JOSEPH ELIZONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 UNIVERSITY DR E STE 255, BRYAN, TX 77802-3483
(979) 330-7140
(979) 256-0737
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
49076
AZ
2080P0206X
Pediatric Gastroenterology Physician
49076
AZ
2080P0206X
Pediatric Gastroenterology Physician
Primary
J7776
TX
Other
Enumeration date
08/09/2006
Last updated
04/07/2025
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