Samuel L Weiss
Internist Allergist & Immunologist
Wilford Hall Ambulatory Surgical Center 1100 Wilford Hall Loop
Lackland Afb
, Texas 78236-2502
Samuel L Weiss
Internist Allergist & Immunologist
Wilford Hall Ambulatory Surgical Center 1100 Wilford Hall Loop
Lackland Afb
, Texas 78236-2502
(210) 292-4278
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About
Features
Specialties
- Allergist & Immunologist
- Internist
Languages spoken
- English
Location
First Address
- Samuel L Weiss
- Wilford Hall Ambulatory Surgical Center 1100 Wilford Hall Loop
- Lackland Afb, TX
- Zip : 78236-2502
- Phone : (210) 292-4278
Second Address
- Samuel L Weiss
- Wilford Hall Ambulatory Surgical Center 1100 Wilford Hall Loop
- Lackland Afb, TX
- Zip : 78236-2502
- Phone : (210) 292-4278
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 0101255002 | VA |
| N | 207R00000X | Internist | 0101255002 | VA |
| N | 111NI0900X | Internist | 0101255002 | VA |
National Provider Identifier
| NPI | 1194088492 |
|---|---|
| Provider Name | Samuel L Weiss |
| First Address | Lackland Afb, TX 78236-2502 |
| Second Address | Lackland Afb, TX 78236-2502 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2012 |
| Last Update Date | 21/09/2020 |
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.