DR. MAX KENNETH WIANT MD NPI 1962504415

NPI Information

NPI: 1962504415
Provider Name: DR. MAX KENNETH WIANT, MD
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
4625 ALABAMA ST
SUITE B
EL PASO, TX
ZIP 79930
Phone: (915) 564-0411
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DR. Max Kenneth Wiant, MD is an addiction medicine family medicine in El Paso, TX. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Max Kenneth Wiant, MD NPI is 1962504415. 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:

4625 ALABAMA ST
SUITE B
EL PASO, TX
ZIP 79930-517
Phone: (915) 564-0411
Fax: (915) 562-5303

The enumeration date for this NPI number is 9/5/2006 and was last updated on 8/18/2007.

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
1	207Q00000X	Family Medicine		F8733	TEXAS	No
2	207QA0401X	Family Medicine	Addiction Medicine	F8733	TEXAS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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