Individual
DAVID MATTHEW WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-2412
Mailing address
1 BAYLOR PLZ, HOUSTON, TX 77030-3411
(713) 798-4438
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
390200000X
TX
2085R0204X
Vascular & Interventional Radiology Physician
60192680
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
P2175
TX
Other
Enumeration date
06/03/2010
Last updated
06/13/2025
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