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Individual

WILEY PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 450-9000
(210) 450-4903
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 450-9000
(210) 450-4903

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K0539
TX
208M00000X
Hospitalist Physician
Primary
K0539
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
043747702
TX
01
043747704
CSHCN
TX
Enumeration date
08/08/2006
Last updated
03/05/2019
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