Individual
DR. THILO R WEISSFLOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 BROOKLYN AVE, 320, SAN ANTONIO, TX 78212-4803
(210) 396-5327
(210) 396-5353
Mailing address
1200 BROOKLYN AVE, 320, SAN ANTONIO, TX 78212-4803
(210) 396-5327
(210) 396-5353
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L4800
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153121201
—
TX
01
—
200044950
RAILROAD MEDICARE
TX
01
—
3101897
CIGNA
TX
01
—
7981339
AETNA
TX
01
—
8B8409
BCBS
TX
Enumeration date
06/01/2006
Last updated
02/04/2022
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