Individual
DR. ALYSSA JENE WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-3030
Mailing address
3244 DONNELLY CIR APT 1105, FORT WORTH, TX 76107-5452
(817) 201-1330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
V8426
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2022
Last updated
05/13/2025
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