OrganizationActive
Dr David S Wise PA
NPI 1376085282 · Point of Service · San Antonio, TX
Provider details
- NPI number
- 1376085282
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- David Wise, President(210) 258-5009
- License
- H8963 (TX)
Specialties & taxonomies
Managed Care Organizations
Practice location
11606 Mill Rock Rd
San Antonio, TX 78230-2762
Phone: (210) 258-5009
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 460625
San Antonio, TX 78246-0625
Registry dates
- Enumerated
- 2016-11-08
- Last updated
- 2016-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.