Provider Demographics
NPI:1033126636
Name:BIELER, LUIS F (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:F
Last Name:BIELER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 240698
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-0698
Mailing Address - Country:US
Mailing Address - Phone:210-932-1324
Mailing Address - Fax:210-932-1308
Practice Address - Street 1:7127 SOMERSET RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211-3665
Practice Address - Country:US
Practice Address - Phone:210-932-1324
Practice Address - Fax:210-932-1308
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1366207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX118898906Medicaid
TX36KCOtherBLUE CROSS ID #
TX731644560OtherTAX ID #
TXG62529Medicare UPIN
TX8334B7Medicare PIN