Wengrovitz, Mark
Wengrovitz, Mark is an individual health care provider with primary practice located at 9153 Huebner Rd. , San Antonio TX 78240-1502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wengrovitz, Mark can be contacted via phone (210) 614-7414.Contact Information
Primary practice address
9153 Huebner Rd.
San Antonio TX 78240-1502
Phone: (210) 614-7414
Fax: (210) 616-0509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | J7246 | Texas |
Profile Details
| NPI number | 1831194315 |
|---|---|
| LBN Legal business name | Wengrovitz, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jun 2nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831194315 | NPPES |
| Texas | MEDICAID | 117279301 |
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