Wayne, Richard S

Wayne, Richard S is an individual health care provider with primary practice located at 333 N Santa Rosa St , San Antonio TX 78207-3108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Wayne, Richard S can be contacted via phone (210) 704-3321.

Contact Information

Primary practice address
333 N Santa Rosa St San Antonio TX 78207-3108
Fax: (210) 704-4527
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 18077 Mississippi

Profile Details

NPI number 1669408779
LBN Legal business name Wayne, Richard S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Feb 18th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669408779 NPPES
Texas MEDICAID 13622114
Texas Other 136226115

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