Individual
ALISON CLAIRE WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 358-0647
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 450-9000
(210) 450-4903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R6941
TX
207RI0200X
Infectious Disease Physician
Primary
R6941
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384324501
—
TX
01
—
384324502
CSHCN
TX
Enumeration date
04/14/2015
Last updated
09/03/2025
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