Individual
WILBUR J STRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 E SCHUSTER AVE, BLDG 7, EL PASO, TX 79902-4660
(915) 533-5486
(915) 533-9602
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 533-5486
(915) 533-9602
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D7693
TX
207U00000X
Nuclear Medicine Physician
D7693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z00BA817
—
TX
Enumeration date
05/31/2005
Last updated
12/17/2012
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