Individual
EDWARD A WOLF III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4242 MEDICAL DR, SUITE 3100, SAN ANTONIO, TX 78229-5640
(210) 477-9555
(210) 614-2180
Mailing address
PO BOX 34717, SAN ANTONIO, TX 78265-4717
(210) 615-1187
(210) 614-2180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N4209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2070674-01
—
TX
Enumeration date
08/06/2007
Last updated
08/19/2010
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