Individual
MS. WEN PAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-2078
(210) 358-1972
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
537691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281268701
—
TX
01
—
281268702
CSHCN
TX
Enumeration date
05/06/2011
Last updated
08/26/2011
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