Individual
DR. BENJAMIN JON PILGRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HARBORSIDE DR #104, GALVESTON, TX 77550
(409) 772-2166
Mailing address
400 HARBORSIDE DR #104, GALVESTON, TX 77550
(409) 772-2166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BP10077028
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34543620
—
TX
Enumeration date
07/28/2021
Last updated
07/28/2021
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