Individual provider · Type 1 NPI

James Connor Wistrom, MD

Student in an Organized Health Care Education/Training Program · San Antonio, TX

NPI number 1508420209 Active

Practice location

7703 Floyd Curl Dr # 7742
San Antonio, TX 78229-3901

Call (210) 567-5711 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508420209

James Connor Wistrom, MD's National Provider Identifier is 1508420209, issued on Apr 28, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Antonio, TX. The record was last updated on May 12, 2021.