Provider Demographics
NPI:1841478492
Name:ROBERT A. WEISS, M.D.P.A.
Entity type:Organization
Organization Name:ROBERT A. WEISS, M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-223-4236
Mailing Address - Street 1:701 W EL PRADO DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-1761
Mailing Address - Country:US
Mailing Address - Phone:210-826-0303
Mailing Address - Fax:
Practice Address - Street 1:1954 E HOUSTON ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78202-2951
Practice Address - Country:US
Practice Address - Phone:210-223-4236
Practice Address - Fax:210-223-4217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX114688801Medicaid
TX114688801Medicaid