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NPI Code Detail

MEDICARE: DR. THOMAS CARL WIENER M.D.

MEDICARE:  DR. THOMAS CARL WIENER  M.D.
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
1208200000XPlastic Surgery PhysicianH4793TX

General Provider Information

NPI Number : 1841206182
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS CARL WIENER M.D.
Provider Business Mailing Address
First Line : 2323 CLEAR LAKE CITY BLVD STE 152
Second Line :
City : HOUSTON
State : TX
Zip : 77062-8040
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2323 CLEAR LAKE CITY BLVD STE 152
Second Line :
City : HOUSTON
State : TX
Zip : 77062-8040
Country : US
Telephone Number : 281-488-5795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

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Directions to “ DR. THOMAS CARL WIENER M.D.” Practice Location

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