Individual
CHANCE WILHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 663-3484
Mailing address
903 W MARTIN ST, SAN ANTONIO, TX 78207
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1173065
TX
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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