| Martin J. Wiesenthal, Md, Pa | |
|
8038 Wurzbach Rd Suite 320 San Antonio TX 78229-3817 | |
| (210) 614-3365 | |
| (210) 615-3757 |
| Full Name | Martin J. Wiesenthal, Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 8038 Wurzbach Rd, San Antonio, Texas |
| Authorized Official Name and Position | Martin J. Wiesenthal (PRESIDENT) |
| Authorized Official Contact | 2106143365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin J. Wiesenthal, Md, Pa Po Box 66 San Antonio TX 78291-0066 Ph: () - | Martin J. Wiesenthal, Md, Pa 8038 Wurzbach Rd Suite 320 San Antonio TX 78229-3817 Ph: (210) 614-3365 |
| NPI Number | 1013165356 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 06/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013165356 | NPI | - | NPPES |
| 219489601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E4763 (Texas) | Primary |
Texas Bariatric Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8038 Wurzbach Rd # 650b, San Antonio, TX 78229 Phone: 713-464-7555 Fax: 713-464-0219 | |
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