Derrick Wansom MD

  • NPI 1306124912
According to our database, the NPI number for Derrick Wansom MD is 1306124912 and activated since 12 years ago. Derrick Wansom MD is an individual provider who specializes in Interventional Pain Medicine, and the primary practice location is 4100 Duval Rd, Austin, TX 78759. You can also contact Derrick Wansom MD via telephone number is (512) 485-7200. Provider NPI information was last updated on 05/29/2019.

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Overview of Derrick Wansom MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/31/2011
  • Last updated: 05/29/2019

Primary Scrop of Practice

  • Taxonomy Code: 208VP0014X
  • Specialty: Interventional Pain Medicine
  • License Number: Q9077
  • License State: TX

Provider Mailing Address

  • Address: Po Box 733946
    Dallas, TX 75373
  • Phone: 512-485-7200
  • Fax: 512-485-7224

Provider Practice Location

  • Address: 4100 Duval Rd
    Bldg 3 Ste 200
    Austin, TX 78759
  • Phone: 512-485-7200
  • Fax: 512-485-7224

Scope of Practice

  • Taxonomy Code: 208VP0014X
  • Specialty: Interventional Pain Medicine
  • License Number: Q9077
  • License State: TX
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Derrick Wansom MD?
  • A: The npi number for Derrick Wansom MD is 1306124912.
  • Q: What are Derrick Wansom MD's specialties?
  • A: Derrick Wansom MD's specialties are Interventional Pain Medicine and different specialities.
  • Q: What is the medical license for Derrick Wansom MD?
  • A: The medical license number for Derrick Wansom MD is Q9077 and issued in TX in USA.
  • Q: Where is Derrick Wansom MD practice location?
  • A: Derrick Wansom MD is practicing at 4100 Duval Rd, Austin, TX 78759.
  • Q: How to contact Derrick Wansom MD?
  • A: You can contact Derrick Wansom MD via 512-485-7200.