Provider Demographics
NPI:1316238892
Name:WEIKLE, EUNJUNG AMY (DO)
Entity type:Individual
Prefix:DR
First Name:EUNJUNG
Middle Name:AMY
Last Name:WEIKLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 240098
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-0098
Mailing Address - Country:US
Mailing Address - Phone:210-621-0640
Mailing Address - Fax:210-621-2386
Practice Address - Street 1:138 OLD SAN ANTONIO RD STE 400
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-3492
Practice Address - Country:US
Practice Address - Phone:210-621-0640
Practice Address - Fax:210-621-2386
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1-0040871207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology