Dr. Steven Wiese
Emergency Physician
4236 E Everglade Ave
Odessa
, Texas 79762-7136
Dr. Steven Wiese
Emergency Physician
4236 E Everglade Ave
Odessa
, Texas 79762-7136
(979) 575-8119
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Steven Wiese
- 4236 E Everglade Ave
- Odessa, TX
- Zip : 79762-7136
- Phone : (979) 575-8119
Second Address
- Dr. Steven Wiese
- 4236 E Everglade Ave
- Odessa, TX
- Zip : 79762-7136
- Phone : (979) 575-8119
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | P7870 | TX |
National Provider Identifier
| NPI | 1003075532 |
|---|---|
| Provider Name | Dr. Steven Wiese |
| First Address | Odessa, TX 79762-7136 |
| Second Address | Odessa, TX 79762-7136 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2008 |
| Last Update Date | 19/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.