Doctor Name: | STANISLAV WEINER |
NPI Number: | 1003801705 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | L7248 |
Business Practice Address: | 520 Douglas Blvd Tyler, TX - 757028307 |
Business Phone Number: | 9036067525 |
Business Fax Number: | |
Mailing Address: | Po Box 846098, DALLAS |
State: | TX |
Postal Code: | 752846098 |
Phone Number: | 9033246450 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2005 |
NPI Last Update Date: | 05/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | L7248 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |