DR. MATTHEW WILLIAM WAACK D.O. NPI 1740486992

NPI Information

  • NPI: 1740486992
  • Provider Name: DR. MATTHEW WILLIAM WAACK, D.O.
  • Classification: Preventive Medicine - 2083A0100X
  • Specialization: Aerospace Medicine
  • Entity Type: Individual
  • Address: 12406 STABLE FOREST DR
    SAN ANTONIO, TX
    ZIP 78249
  • Phone: (210) 690-5296

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NPI Details

DR. Matthew William Waack, D.O. is an aerospace medicine preventive medicine in San Antonio, TX. The provider is aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. DR. Matthew William Waack, D.O. NPI is 1740486992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12406 STABLE FOREST DR
SAN ANTONIO, TX
ZIP 78249-614
Phone: (210) 690-5296
Fax: (210) 690-5296

The enumeration date for this NPI number is 6/25/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083A0100XPreventive MedicineAerospace Medicine2065OKLAHOMANo
22083A0100XPreventive MedicineAerospace MedicineK9928TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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