Organization
WEIL PODIATRY OF SAN ANTONIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMBER VASQUEZ (CREDENTIALING COORDINATOR)
(847) 627-4920
Entity
Organization
Contact information
Practice address
1455 E GOLF RD, SUITE 110, DES PLAINES, IL 60016-1250
(847) 627-4920
(847) 299-6041
Mailing address
2425 WEST LOOP S, #200, HOUSTON, TX 77027-4205
(847) 627-4920
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1350
TX
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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