DR DAVID S WISE PA NPI 1376085282

NPI Information

DR DAVID S WISE PA is a point of service in San Antonio, TX. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. DR DAVID S WISE PA NPI is 1376085282. The provider is registered as an organization entity type.

The provider's business location address is:

11606 MILL ROCK RD
SAN ANTONIO, TX
ZIP 78230-762
Phone: (210) 258-5009

The provider's authorized official is David S Wise .
The authorized official title is President and has the following contact phone number (210) 258-5009.

The enumeration date for this NPI number is 11/8/2016 and was last updated on 11/8/2016.

Taxonomy Codes

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Other Identifiers

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