Individual
ERIC S. WIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ORTHOPEDIC WAY, ARLINGTON, TX 76015-1629
(817) 375-5200
(817) 299-1708
Mailing address
PO BOX 120489, ARLINGTON, TX 76012-0489
(817) 375-5200
(817) 299-1708
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
L8558
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165198601
—
TX
Enumeration date
09/14/2005
Last updated
02/01/2017
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