Individual
DR. JAMES MICHAEL WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 NE LOOP 410, SUITE 410, SAN ANTONIO, TX 78216-5832
(210) 375-7790
Mailing address
45 NE LOOP 410, SUITE 410, SAN ANTONIO, TX 78216-5832
(210) 375-7790
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H7678
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134929209
—
TX
Enumeration date
06/02/2006
Last updated
12/18/2014
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