Provider Demographics
NPI:1023068939
Name:MEISENHEIMER, BEN ALAN (MD)
Entity type:Individual
Prefix:
First Name:BEN
Middle Name:ALAN
Last Name:MEISENHEIMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4444 CORONA SUITE 232
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411
Mailing Address - Country:US
Mailing Address - Phone:361-857-8525
Mailing Address - Fax:361-857-8809
Practice Address - Street 1:5950 SARATOGA BLVD
Practice Address - Street 2:CHRISTUS SPOHN SOUTH
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413
Practice Address - Country:US
Practice Address - Phone:361-985-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6429207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
81T603OtherBCBS
TX128360801Medicaid
TX128360805Medicaid
82T281OtherBCBS
TX128360805Medicaid
82T281OtherBCBS
TX128360801Medicaid