Individual
DR. RICHARD S WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-3321
(210) 704-4527
Mailing address
315 N SAN SABA STE 1003, SAN ANTONIO, TX 78207-3100
(210) 704-3879
(210) 704-4520
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
18077
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13622114
—
TX
01
—
136226115
CSCHN
TX
Enumeration date
06/23/2006
Last updated
02/18/2015
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