Organization · Type 2 NPI
Alexis Wiesenthal MD PA
Primary Care Clinic/Center · San Antonio, TX
NPI number
1003175662
Active
Practice location
8038 Wurzbach Rd Ste 320
San Antonio, TX 78229-3813
Mailing address
PO Box 6627
San Antonio, TX 78209-0627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | N1219 (TX) |
| Primary Care Clinic/Center Primary | 261QP2300X | N1219 (TX) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1003175662
Alexis Wiesenthal MD PA's National Provider Identifier is 1003175662, issued on May 16, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in San Antonio, TX. The record was last updated on May 16, 2012.