Individual
CORNELIUS W. WAKEFIELD
Active
Individual
CORNELIUS W. WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G1799
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U79G
BCBS
TX
05
—
134813806
—
TX
05
—
134813809
—
TX
01
—
8U4608
BCBS
TX
Enumeration date
09/20/2006
Last updated
07/30/2008
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