Individual
SUE ANN WACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 E. US 190, COPPERAS COVE, TX 76522
(254) 238-7836
Mailing address
1521 E US 190, COPPERAS COVE, TX 76522
(254) 238-7836
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
209057
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-3723846
MEDICARE
TX
Enumeration date
04/25/2022
Last updated
04/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us