Individual
JAMES L WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 MADISON OAK DR, STE # 570, SAN ANTONIO, TX 78258-3943
(210) 402-3700
(210) 402-3892
Mailing address
540 MADISON OAK DR, STE # 570, SAN ANTONIO, TX 78258-3943
(210) 402-3700
(210) 402-3892
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
L2750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8S3030
BCBS PIN
TX
Enumeration date
07/12/2005
Last updated
06/06/2016
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