Healthcare Provider Details

I. General information

NPI: 1013423284
Provider Name (Legal Business Name): ANEW YOU MEDICAL WEIGHT LOSS AND SPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14602 HUEBNER RD 100
SAN ANTONIO TX
78230
US

IV. Provider business mailing address

14602 HUEBNER RD 100
SAN ANTONIO TX
78230
US

V. Phone/Fax

Practice location:
  • Phone: 210-688-4850
  • Fax: 210-688-4809
Mailing address:
  • Phone: 210-688-4850
  • Fax: 210-688-4809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberL5609
License Number StateTX

VIII. Authorized Official

Name: DR. MARGARET S WEHNER
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: MD
Phone: 210-688-4850