Individual
WILLIAM C L WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
927 MCCULLOUGH AVE, SAN ANTONIO, TX 78215-1630
(210) 223-6896
(210) 223-3888
Mailing address
927 MCCULLOUGH AVE, SAN ANTONIO, TX 78215-1630
(210) 223-6896
(210) 223-3888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
H8897
TX
207RC0000X
Cardiovascular Disease Physician
Primary
H8897
TX
207RI0011X
Interventional Cardiology Physician
H8897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060047582
RAILROAD MEDICARE
TX
05
—
128253504
—
TX
05
—
128253506
—
TX
05
—
128253507
—
TX
01
—
84850G
BCBS
TX
01
—
8CK583
BCBS
TX
01
—
8CU338
BCBS
TX
Enumeration date
06/22/2005
Last updated
03/29/2012
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