Individual
MICHAEL PIESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12850 TOEPPERWEIN RD, LIVE OAK, TX 78233-4115
(210) 614-1234
(210) 614-0952
Mailing address
8415 DATAPOINT DR, SUITE 1000, SAN ANTONIO, TX 78229-3298
(210) 614-1234
(210) 614-0952
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01051558A
IN
207RG0100X
Gastroenterology Physician
Primary
M8920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331821401
—
TX
01
—
332834YKXJ
MEDICARE PIN
TX
Enumeration date
04/03/2007
Last updated
03/17/2018
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