Individual
ALEXIS ANN WIESENTHAL MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 W OLMOS DR #18, SAN ANTONIO, TX 78212
(210) 614-1010
(210) 949-1010
Mailing address
PO BOX 6627, SAN ANTONIO, TX 78209
(210) 614-1010
(210) 949-1010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36165
AZ
207R00000X
Internal Medicine Physician
A103118
CA
207R00000X
Internal Medicine Physician
Primary
N1219
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219490401
—
TX
Enumeration date
03/15/2006
Last updated
02/28/2025
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