Organization
BRYAN J. WOHLFELD, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN J. WOHLFELD M.D. (DIRECTOR)
(214) 284-9002
Entity
Organization
Contact information
Practice address
4410 MEDICAL DR, SUITE 600, SAN ANTONIO, TX 78229-6306
(210) 615-5200
(210) 615-5206
Mailing address
4410 MEDICAL DR, SUITE 600, SAN ANTONIO, TX 78229-6306
(210) 615-5200
(210) 615-5206
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
N7764
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297762101
—
TX
01
—
TXB134440
MEDICARE PTAN
TX
Enumeration date
04/27/2011
Last updated
09/06/2012
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