Individual
MR. ERIC J WASSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
18827 CANYON VIEW PASS, HELOTES, TX 78023-2879
(210) 391-4324
Mailing address
18827 CANYON VIEW PASS, HELOTES, TX 78023-2879
(210) 391-4324
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00495
TEXAS STATE LICENSE
TX
Enumeration date
11/20/2009
Last updated
09/16/2019
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