Wise, David S.

Wise, David S. is an sole proprietor health care provider with primary practice located at 11606 Mill Rock Rd , San Antonio TX 78230-2762. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Wise, David S. can be contacted via phone (210) 258-5009.

Contact Information

Primary practice address
11606 Mill Rock Rd San Antonio TX 78230-2762
Phone: (210) 258-5009
Fax: (210) 368-9440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MDH8963 Texas
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X H8963 Texas

Profile Details

NPI number 1780627414
LBN Legal business name Wise, David S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Nov 29th, 2016 - about 10 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 1780627414 NPPES
Texas Other 0063CN BLUE CROSS ID NUMBER
Texas MEDICAID 113351401 BLUE CROSS ID NUMBER
Texas Other 060050641 BLUE CROSS ID NUMBER

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