Pendleton Brewster Wickersham M.D.

NPI 1053380048 - Internal Medicine - 207RR0500X

NPI Details
NPI 1053380048
Gender Male
Enumeration Date 03/14/2006
Last Updated 02/01/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
4511 HORIZON HILL BLVD
SUITE 150
SAN ANTONIO TX, 78229-2263, US
Phone (210) 477-2626
Fax (210) 477-2650
Business Location
4511 HORIZON HILL BLVD
SUITE 150
SAN ANTONIO TX, 78229-2263, US
Phone (210) 477-2626
Fax (210) 477-2650
Toxanomy
Taxonomy Code 207RR0500X
License State Texas
License Number M3113
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According to our database, Dr. Pendleton Brewster Wickersham M.D. NPI is 1053380048, taxonomy code is 207RR0500X and license number is M3113, license state is located at Texas. Pendleton Brewster Wickersham M.D. physically located at 4511 Horizon Hill Blvd, San Antonio TX, 78229-2263. NPI Number Pendleton Brewster Wickersham M.D. has the Individual type.

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1053380048 NPI number is provided on an as is basis without warranty of any kind. 1053380048 is maintained by the National Plan & Provider Enumeration System. The contents of Pendleton Brewster Wickersham M.D. are for informational purposes only.