Individual
IDALUPE WISHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2833 ALAN A DL, IRVING, TX 75061-6422
(972) 342-6253
Mailing address
2833 ALAN A DL, IRVING, TX 75061-6422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2052045-01
—
TX
01
—
PA02452
MEDICAL LICENSE- PAC
TX
Enumeration date
08/05/2007
Last updated
04/22/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us