DR DAVID S WISE PA
Managed Care Organizations at Mill Rock Rd, San Antonio, TX

License number
Texas H8963
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. DAVID S WISE M.D.
Title: PRESIDENT
Phone: (210) 258-5009
Address
Address
11606 Mill Rock Rd, San Antonio, TX 78230
National Provider ID: 1376085282
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Dr. David S. Wise, PA

2455 NE Loop 410, San Antonio, TX 78217

Status:
Inactive
Doing business as:
Dr. David S. Wise, PA
Registration:
Jun 12, 1998
State ID:
81910303
Business type:
Professional Association
President , Director , Member:
David S. Wise President , Director , Member, inactive

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