ALEXIS WIESENTHAL MD PA
Ambulatory Health at Wurzbach Rd, San Antonio, TX

License number
Texas N1219
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Texas N1219
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. ALEXIS WIESENTHAL M.D.
Title: PRESIDENT
Phone: (210) 857-3767
Address
Address
8038 Wurzbach Rd STE 320, San Antonio, TX 78229
National Provider ID: 1003175662
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALEXIS WIESENTHAL, M.D., PA

PO Box 6627, San Antonio, TX 78209

Doing business as:
Alexis Wiesenthal, M.D., PA
Registration:
Jul 19, 2011
State ID:
0801454347
Business type:
Professional Association
Director, Member, President:
Alexis A. Wiesenthal (Director, Member, President)
Agent:
Alexis Wiesenthal,7950 Floyd Curl Dr SUITE 1010, San Antonio, TX 78229 (Physical)
TIN:
32044677972

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