Individual
GABRIEL D. WANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3705 MEDICAL PKWY, SUITE 570, AUSTIN, TX 78705-1019
(512) 454-2554
Mailing address
3705 MEDICAL PKWY, SUITE 570, AUSTIN, TX 78705-1019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00151577
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP132503
TX
Other
Enumeration date
10/23/2007
Last updated
03/24/2017
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