Individual provider · Type 1 NPI
Stephen Michael Wolford, LSA
Surgical Physician Assistant · San Antonio, TX
NPI number
1912239286
Active
Practice location
540 Madison Oak Dr, Ste 610
San Antonio, TX 78258-3924
Fax (210) 352-5367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | SA00465 (TX) |
Surgical Physician Assistant: Definition to come...
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About NPI 1912239286
Stephen Michael Wolford, LSA's National Provider Identifier is 1912239286, issued on Feb 11, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Antonio, TX. The record was last updated on Nov 7, 2018.