Dr David S Wise Pa

LBN: Dr David S Wise Pa
Dr David S Wise Pa is an health care organization with primary practice located at 11606 Mill Rock Rd , San Antonio TX 78230-2762. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Dr David S Wise Pa can be contacted via phone (210) 258-5009, or through Wise, David S via phone (210) 258-5009.

Contact Information

Primary practice address
11606 Mill Rock Rd San Antonio TX 78230-2762
Phone: (210) 258-5009
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wise, David S Doctor of Medicine (MD)
Phone: (210) 258-5009

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X H8963 Texas

Profile Details

NPI number 1376085282
LBN Legal business name Dr David S Wise Pa
DBA Doing business as
Authorized official Wise, David S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2016
Last updated Nov 8th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376085282 NPPES
Texas MEDICAID P000204D8

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