Individual
ALFRED CHRISTIAN WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3405 WANDERING MDWS, AUSTIN, TX 78746-1650
(512) 695-7005
Mailing address
3405 WANDERING MDWS, AUSTIN, TX 78746-1650
(512) 695-7005
(512) 459-1251
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
F0353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110122201
—
TX
Enumeration date
10/12/2006
Last updated
02/05/2024
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