Organization
ISIDORO WIENER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISIDORO WIENER M.D. (DIRECTOR)
(713) 785-5007
Entity
Organization
Contact information
Practice address
902 FROSTWOOD DR, SUITE 265, HOUSTON, TX 77024-2420
(713) 785-5007
(713) 785-8877
Mailing address
5308 HOLLY ST, BELLAIRE, TX 77401-4806
(713) 785-5007
(713) 785-8877
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G5769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98PU
BCBS
TX
Enumeration date
11/22/2006
Last updated
11/27/2007
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