Provider Demographics
NPI:1336376995
Name:BIENEK, ANTHONY CHARLES (DO)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:CHARLES
Last Name:BIENEK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1106 W MILL ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5549
Mailing Address - Country:US
Mailing Address - Phone:830-214-0517
Mailing Address - Fax:830-214-6908
Practice Address - Street 1:1106 W MILL ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5549
Practice Address - Country:US
Practice Address - Phone:830-214-0517
Practice Address - Fax:830-214-6908
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP2829207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine