Doctor Name: | BENJAMIN ORMAN WEGER |
NPI Number: | 1255626743 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 01072723A |
Business Practice Address: | 3100 Schofield Rd Bldg 1179 Fort Sam Houston, TX - 782347577 |
Business Phone Number: | 8122367027 |
Business Fax Number: | |
Mailing Address: | 3100 Schofield Rd Bldg 1179, FORT SAM HOUSTON |
State: | TX |
Postal Code: | 782347577 |
Phone Number: | 8122367027 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2011 |
NPI Last Update Date: | 09/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01072723A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |