Individual
DR. WAYNE W INGRAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 W 38TH ST, STE G4, AUSTIN, TX 78705-1121
(512) 458-1208
(512) 458-1409
Mailing address
711 W 38TH ST, STE G4, AUSTIN, TX 78705-1121
(512) 458-1208
(512) 458-1409
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
E7995
TX
208600000X
Surgery Physician
Primary
E7795
TX
Other
Enumeration date
08/09/2005
Last updated
09/11/2025
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