person
Stephen Michael Wolford, LSA
Surgical Physician Assistant in San Antonio, Texas
NPI 1912239286

Stephen Michael Wolford is a Surgical Physician Assistant based in San Antonio, TX and is specialized in Surgical. Stephen Michael Wolford practices in San Antonio, TX and has the professional credentials of LSA. The NPI Number for Stephen Michael Wolford is 1912239286 and holds a License No. SA00465 (Texas).

The current practice location address for Stephen Michael Wolford is 540 Madison Oak Dr, San Antonio, TX and can be reached out via phone at 210-352-5346 and via fax at 210-352-5367.

Location: 540 Madison Oak Dr, San Antonio, TX, 78258-3924
person
Provider Profile Details
NPI Number
1912239286
Provider Name
Stephen Michael Wolford
Credential
LSA
Provider Entity Type
Individual
Gender
Male
Address
540 Madison Oak Dr, San Antonio, TX, 78258-3924
Phone Number
210-352-5346
Fax Number
210-352-5367
Provider Enumeration Date
02/11/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SA00465 01 TX LICENSE
118383 01 NBSTSA BOARD CERTIFICATION
12678978 01 TX CAQH
81NN10 01 TX BCBSTX
institution
Provider Business Practice Location Address Details
Address
540 Madison Oak Dr
City
State
Zip
78258-3924
Phone Number
210-352-5346
Fax Number
210-352-5367
person
Provider Business Mailing Address Details
Address
540 Madison Oak Dr
City
State
Zip
78258-3924
Phone Number
210-352-5346
Fax Number
210-352-5367
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
SA00465 (Texas)
Definition
Definition to come...
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