Wiesner, Elliana Regina
Wiesner, Elliana Regina is an individual health care provider with primary practice located at 500 W 4Th St , Odessa TX 79761. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Wiesner, Elliana Regina can be contacted via phone (432) 640-4000.Contact Information
Primary practice address
500 W 4Th St
Odessa TX 79761
Phone: (432) 640-4000
Fax: (432) 640-4606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | R4919 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R4919 | Texas |
Profile Details
| NPI number | 1699156273 |
|---|---|
| LBN Legal business name | Wiesner, Elliana Regina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2015 |
| Last updated | Jun 8th, 2018 - about 8 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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