Individual
KARL K WEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5920
(325) 658-1511
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F4664
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135215504
—
TX
Enumeration date
10/25/2005
Last updated
11/15/2011
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