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Individual

DR. DAVID SAMUEL WOLF

Active
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Individual

DR. DAVID SAMUEL WOLF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0359
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
0359
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092849101
—
TX
01
—
10014884
AMERIGROUP
TX
01
—
1026570
AETNA #
TX
01
—
17079691
EVERCARE
TX
01
—
23006
FIRST HEALTH
TX
01
—
28157
CIGNA - HMO
TX
01
—
2815792006
CIGNA - PPO
TX
01
—
2815792007
CIGNA - COM. HMO
TX
01
—
4269450001
MEDICARE DME
TX
01
—
TN04
BCBS
TX
Enumeration date
05/24/2005
Last updated
01/27/2015
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