Individual
MR. ADAM CHRISTOPHER WENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP-AC
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(469) 303-7000
Mailing address
3968 SOMBRA ARBOL CT, LAS CRUCES, NM 88012-0733
(575) 649-8106
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AP126830
TX
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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