Dr. Thaddeus David Wilson
Emergency Physician Pediatric Emergency Physician
4204 Gardendale St Suite 312
San Antonio
, Texas 78229-3132
Dr. Thaddeus David Wilson
Emergency Physician Pediatric Emergency Physician
4204 Gardendale St Suite 312
San Antonio
, Texas 78229-3132
(210) 293-6003
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About
Features
Specialties
- Emergency Physician
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Thaddeus David Wilson
- 4204 Gardendale St Suite 312
- San Antonio, TX
- Zip : 78229-3132
- Phone : (210) 293-6003
Second Address
- Dr. Thaddeus David Wilson
- 4204 Gardendale St Suite 312
- San Antonio, TX
- Zip : 78229-3132
- Phone : (210) 293-6003
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FAQs
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Is Dr. Thaddeus David Wilson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 58235 | TN |
| N | 207PP0204X | Pediatric Emergency Physician | Q4343 | TX |
National Provider Identifier
| NPI | 1417190869 |
|---|---|
| Provider Name | Dr. Thaddeus David Wilson |
| First Address | San Antonio, TX 78229-3132 |
| Second Address | San Antonio, TX 78229-3132 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/04/2009 |
| Last Update Date | 21/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.