Individual
DR. CYNTHIA KAY WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3900 JUNIUS ST STE 415, DALLAS, TX 75246-1617
(972) 993-8300
(972) 993-8301
Mailing address
3417 GASTON AVE STE 700, DALLAS, TX 75246-2031
(972) 993-5000
(972) 993-5001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L9553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165931002
—
TX
01
—
8A0787
BCBS
TX
Enumeration date
08/15/2006
Last updated
03/17/2023
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