SearchTexas2083A0100X

Matthew Waack, D.O

NPI 1740486992 · on the registry since 2007

Practice

Address
12406 Stable Forest Dr
San Antonio, TX 78249
Phone
(210) 690-5296
Fax
(210) 690-5296

Registry record

Primary taxonomy
2083A0100X
2083A0100X
Also registered as
2083A0100X
Licence states on file
TX, OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas