NPI 1376085282

Dr David S Wise PA

Organisation Point of Service San Antonio, TX

Practice location

Address: 11606 Mill Rock Rd, San Antonio, TX 78230-2762
Phone: (210) 258-5009
Mailing address: PO Box 460625, San Antonio, TX 78246-0625

Authorised official

Name: David S Wise
Title: President
Phone: (210) 258-5009

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence H8963 (TX)

Other Point of Service providers in Texas →

Registry record

NPI: 1376085282
Entity type: Organization
NPI issued: 8 Nov 2016
Record last updated: 8 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.