Individual
DR. MATTHEW WILLIAM WAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12406 STABLE FOREST DR, SAN ANTONIO, TX 78249-4614
(210) 690-5296
(210) 690-5296
Mailing address
12406 STABLE FOREST DR, SAN ANTONIO, TX 78249-4614
(210) 690-5296
(210) 690-5296
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
2065
OK
2083A0100X
Aerospace Medicine Physician
Primary
K9928
TX
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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