Wengrovitz, Mark

Wengrovitz, Mark is an individual health care provider with primary practice located at 9153 Huebner Rd. , San Antonio TX 78240-1502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wengrovitz, Mark can be contacted via phone (210) 614-7414.

Contact Information

Primary practice address
9153 Huebner Rd. San Antonio TX 78240-1502
Phone: (210) 614-7414
Fax: (210) 616-0509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X J7246 Texas

Profile Details

NPI number 1831194315
LBN Legal business name Wengrovitz, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jun 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831194315 NPPES
Texas MEDICAID 117279301

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