Individual
DR. ENRIQUE WILDER LINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1317 SAINT CLAIRE BLVD, SUITE # A-4, MISSION, TX 78572
(956) 581-6606
(956) 581-6775
Mailing address
PO BOX 809, MISSION, TX 78573-0014
(956) 581-6606
(956) 581-6775
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
L5434
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156145801
—
TX
05
—
156146601
—
TX
01
—
8H8630
BCBS
TX
Enumeration date
02/01/2006
Last updated
05/10/2012
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