| Geoff R Weikle Do Pllc | |
|
12446 West Ave Ste 200 San Antonio TX 78216-2530 | |
| (210) 525-1668 | |
| (210) 525-1669 |
| Full Name | Geoff R Weikle Do Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12446 West Ave Ste 200, San Antonio, Texas |
| Authorized Official Name and Position | Geoff R Weikle (OWNER) |
| Authorized Official Contact | 2105251668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geoff R Weikle Do Pllc 12446 West Ave Ste 200 San Antonio TX 78216-2530 Ph: (210) 525-1668 | Geoff R Weikle Do Pllc 12446 West Ave Ste 200 San Antonio TX 78216-2530 Ph: (210) 525-1668 |
| NPI Number | 1184298481 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Medicare PECOS PAC ID | 8820497480 |
|---|---|
| Medicare Enrollment ID | O20210602000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184298481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Geoff R Weikle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740577212 PECOS PAC ID: 0345473773 Enrollment ID: I20140508001948 |
| Provider Name | Joana Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992581102 PECOS PAC ID: 2062863558 Enrollment ID: I20240109003248 |
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