ALEXIS WIESENTHAL MD PA – NPI #1003175662
Clinic/Center

ALEXIS WIESENTHAL MD PA is an AHC clinic located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1003175662 to ALEXIS WIESENTHAL MD PA on May 16, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALEXIS WIESENTHAL MD PA below.

NPI Profile for
ALEXIS WIESENTHAL MD PA

NPI Number
1003175662
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALEXIS WIESENTHAL MD PA
Primary location
8038 WURZBACH RD STE 320
SAN ANTONIO, TX 78229-3813
Phone: (210) 614-3365 Fax:
Mailing address
PO BOX 6627
SAN ANTONIO, TX 78209-0627
Phone: Fax:
Organization Subpart
No
Authorized Official
ALEXIS WIESENTHAL
PRESIDENT
Phone: (210) 857-3767
Updated
Identifiers

Identifiers for ALEXIS WIESENTHAL MD PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PTANTX8F9634
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 TX N1219
207R00000X
- Internal Medicine		 TX N1219

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.