DR DAVID S WISE PA

SAN ANTONIO, TX
NPI1376085282
Entity TypeOrganization
Authorized ContactDAVID S WISE
President
210-258-5009
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
(Licence: TX  H8963)
Enumeration Date2016-11-08
Last Update Date2016-11-08
Business Address
DR DAVID S WISE PA
11606 MILL ROCK RD
SAN ANTONIO, TX 78230-2762
Phone number: 210-258-5009
Mailing Address
DR DAVID S WISE PA
PO BOX 460625
SAN ANTONIO, TX 78246-0625
Phone number: 210-258-5009
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