Wilder, James L

Wilder, James L is an sole proprietor health care provider with primary practice located at 540 Madison Oak Dr Ste # 570, San Antonio TX 78258-3943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Wilder, James L can be contacted via phone (210) 402-3700.

Contact Information

Primary practice address
540 Madison Oak Dr Ste # 570 San Antonio TX 78258-3943
Phone: (210) 402-3700
Fax: (210) 402-3892
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X L2750 Texas

Profile Details

NPI number 1982602173
LBN Legal business name Wilder, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Jun 6th, 2016 - about 8 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 1982602173 NPPES
Texas Other 8S3030 BCBS PIN

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