Individual
DR. EDWARD MICHAEL WUENSCH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
245 HUNTERS VILLAGE PARKWAY, NEW BRAUNFELS, TX 78132-4742
(830) 629-9000
(830) 629-0299
Mailing address
245 HUNTERS VILLAGE PARKWAY, NEW BRAUNFELS, TX 78132
(830) 629-9000
(830) 629-0299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14594
STATE LICENSE #
TX
01
—
74-2889807
TAX ID#
TX
01
—
836104
TRICARE UNITED CONCORDIA
TX
01
—
D14594
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/24/2007
Last updated
03/07/2023
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