Stanislav Weiner
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
520 Douglas Blvd
Tyler
, Texas 75702-8307
Stanislav Weiner
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
520 Douglas Blvd
Tyler
, Texas 75702-8307
(903) 324-6450
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Stanislav Weiner
- Po Box 846098
- Dallas, TX
- Zip : 75284-6098
- Phone : (903) 324-6450
Second Address
- Stanislav Weiner
- 520 Douglas Blvd
- Tyler, TX
- Zip : 75702-8307
- Phone : (903) 606-7525
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | L7248 | TX |
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | L7248 | TX |
National Provider Identifier
| NPI | 1003801705 |
|---|---|
| Provider Name | Stanislav Weiner |
| First Address | Dallas, TX 75284-6098 |
| Second Address | Tyler, TX 75702-8307 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/09/2005 |
| Last Update Date | 06/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 158491401 | (05) | TX |
| 158491404 | (05) | TX |
| 232883303 | UNITED HEALTHCARE (01) | TX |
| 75-2616977007 | TRICARE (01) | TX |
| 7881495 | AETNA (01) | TX |
| 8J1480 | BCBS (01) | TX |
| 8V5492 | BCBS TRINITY (01) | TX |
| H84318 | (02) |
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.