MEDICARE: MS. PATTI ANN WEISSLER LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	451	TX

General Provider Information

NPI Number	:	1033248430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATTI ANN WEISSLER LAC

Provider Business Mailing Address
First Line	:	121 W WOODLAWN AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-3457
Country	:	US
Telephone Number	:	210-735-4200
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 W WOODLAWN AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-3457
Country	:	US
Telephone Number	:	210-735-4200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2007
Last Update Date	:	07/08/2007

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