Organization · Type 2 NPI

DR David S Wise PA

Point of Service · San Antonio, TX

NPI number 1376085282 Active

Practice location

11606 Mill Rock Rd
San Antonio, TX 78230-2762

Call (210) 258-5009 Map

Mailing address

PO Box 460625
San Antonio, TX 78246-0625

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XH8963 (TX)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1376085282

DR David S Wise PA's National Provider Identifier is 1376085282, issued on Nov 8, 2016. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in San Antonio, TX. The record was last updated on Nov 8, 2016.