Individual
DUEWARD SHANE WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
8535 TOM SLICK, SAN ANTONIO, TX 78229-3367
(210) 582-6440
Mailing address
8535 TOM SLICK, SAN ANTONIO, TX 78229-3367
(210) 582-6440
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1111892
TX
Other
Enumeration date
03/08/2023
Last updated
03/09/2023
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