Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
WILLIAM WARD WYNN
Active
Organization
WILLIAM WARD WYNN
Active
Other names
BABCOCK SQUARE
Organization subpart
No
Provider details
NPI number
Authorized official
BILL WYNN (OWNER)
(210) 696-6269
Entity
Organization
Contact information
Practice address
5824 BABCOCK RD, SAN ANTONIO, TX 78240-2134
(210) 696-6269
(210) 696-8915
Mailing address
5824 BABCOCK RD, SAN ANTONIO, TX 78240-2134
(210) 696-6269
(210) 696-8915
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
06217
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142155
—
TX
01
—
2102615
PK
—
Enumeration date
08/31/2006
Last updated
06/01/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up