Wise, David S.
Wise, David S. is an sole proprietor health care provider with primary practice located at 11606 Mill Rock Rd , San Antonio TX 78230-2762. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Wise, David S. can be contacted via phone (210) 258-5009.Contact Information
Primary practice address
11606 Mill Rock Rd
San Antonio TX 78230-2762
Phone: (210) 258-5009
Fax: (210) 368-9440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MDH8963 | Texas |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | H8963 | Texas |
Profile Details
| NPI number | 1780627414 |
|---|---|
| LBN Legal business name | Wise, David S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Nov 29th, 2016 - about 9 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 | 1780627414 | NPPES |
| Texas | Other | 0063CN | BLUE CROSS ID NUMBER |
| Texas | MEDICAID | 113351401 | BLUE CROSS ID NUMBER |
| Texas | Other | 060050641 | BLUE CROSS ID NUMBER |
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