Individual
DR. DAVID S WISHNEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6633 E HWY 290, STE 101, AUSTIN, TX 78723-1172
(512) 314-3834
(512) 314-7121
Mailing address
6633 E HWY 290, STE 101, AUSTIN, TX 78723-1172
(512) 314-3834
(512) 314-7121
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
G7380
TX
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
G7380
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
G7380
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000FS557
—
TX
Enumeration date
08/01/2006
Last updated
11/02/2009
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