Individual
DR. PHI WIEGN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 FOREST LN, SUITE C-538, DALLAS, TX 75230-2505
(972) 566-8388
(972) 566-3481
Mailing address
PO BOX 453187, GARLAND, TX 75045-3187
(972) 566-8388
(972) 566-3481
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M0307
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
M0307
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199819701
—
TX
Enumeration date
06/15/2007
Last updated
04/17/2009
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