Organization Active NPI

Isidoro Wiener, M.D., P.a.

  • Specialist
  • Houston, TX
National Provider Identifier
1366517419
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G5769 Issued in TX
Legal business name
ISIDORO WIENER, M.D., P.A.
Practice address
902 Frostwood Dr
Suite 265
Houston, TX 77024-2420
Phone
(713) 785-5007
Fax
(713) 785-8877
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Isidoro Wiener, M.D.
Title
Director
Phone
(713) 785-5007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G5769 TX Primary

Addresses

Primary practice location

902 Frostwood Dr
Suite 265
Houston, TX 77024-2420

Mailing address

5308 Holly St
Bellaire, TX 77401-4806
Phone (713) 785-5007

Other identifiers 1

IdentifierTypeStateIssuer
98PUOtherTXBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1366517419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 HOLLY ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014806",
            "telephone_number": "713-785-5007",
            "fax_number": "713-785-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR",
            "address_2": "SUITE 265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242420",
            "telephone_number": "713-785-5007",
            "fax_number": "713-785-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISIDORO WIENER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "ISIDORO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-785-5007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G5769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "98PU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.