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Individual

DR. STANISLAV WEINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
703 E MARSHALL AVE STE 5008, LONGVIEW, TX 75601-5557
(903) 315-4880
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L7248
TX
207RC0000X
Cardiovascular Disease Physician
L7248
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
L7248
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158491401
TX
05
158491404
TX
01
232883303
UNITED HEALTHCARE
TX
01
75-2616977007
TRICARE
TX
01
7881495
AETNA
TX
01
8J1480
BCBS
TX
01
8V5492
BCBS TRINITY
TX
Enumeration date
09/19/2005
Last updated
04/22/2026
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