Individual
HARLEY DANIELLE WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
902 S AIRPORT DR. STE 6, WESLACO, TX 78596-6644
(956) 362-8700
(956) 647-5013
Mailing address
PO BOX 6139, MCALLEN, TX 78502-6139
(956) 362-3636
(956) 362-2699
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
PA14526
TX
363A00000X
Physician Assistant
Primary
PA14526
TX
Other
Enumeration date
05/06/2021
Last updated
11/13/2023
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