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Organization
MARTIN E WEINER, M.D. P.A.
Active
Organization
MARTIN E WEINER, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN E WEINER MD (PRESIDENT)
(830) 875-2431
Entity
Organization
Contact information
Practice address
711 S HACKBERRY, LULING, TX 78648
(830) 875-2431
Mailing address
PO BOX 1068, LULING, TX 78648-1068
(830) 875-2431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F4666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130954404
—
TX
01
—
827083679
RR MEDICARE
TX
Enumeration date
10/17/2006
Last updated
07/28/2010
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