Active NPI
Isidoro Wiener, M.D., P.a.
- Specialist
- Houston, TX
National Provider Identifier
1366517419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G5769
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98PU | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryNPI 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.