Organization
NORTHWEST ANESTHESIOLOGY SA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL WYNN MD (PARTNER)
(210) 477-2409
Entity
Organization
Contact information
Practice address
45 NE LOOP 410, SUITE 900, SAN ANTONIO, TX 78216-5832
(210) 375-7780
(210) 375-7789
Mailing address
45 NE LOOP 410, SUITE 900, SAN ANTONIO, TX 78216-5832
(210) 375-7780
(210) 375-7789
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180298501
—
TX
Enumeration date
05/31/2006
Last updated
01/25/2010
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