Individual
MARTIN E WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 HAYS ST, LULING, TX 78648-3207
(830) 875-7000
Mailing address
711 S HACKBERRY AVE, LULING, TX 78648-3200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
F4666
TX
208D00000X
General Practice Physician
F4666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130954407
—
TX
01
—
8U9771
BCBS
TX
01
—
P00302841
RAILROAD MEDICARE
TX
Enumeration date
06/05/2006
Last updated
02/19/2009
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