GWENDOLYN L WADE


Address: 11403 Oconnor Rd Ste 108, San Antonio, TX 78233-5391
Phone: 2106573700

GWENDOLYN L WADE (NPI# 1053894857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053894857
Entity Type Individual
Full Name GWENDOLYN L WADE
Credential FNP-C
Practice Address 11403 Oconnor Rd Ste 108
San Antonio
TX 78233-5391
Mailing Address 13530 Forum Rd
Universal City
TX 78148-2807
Practice Telephone 2106573700
Mailing Telephone 7754195232
Enumeration Date 2018-09-08
Last Update Date 2019-01-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP137705 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers GWENDOLYN WADE

NPI Name Taxonomy Address Enumeration
1467732685 Gwendolyn Wade Pharmacist 3500 Abington Ave S, St Petersburg, FL 33711-3547 2011-08-18

Office Location

Street Address 11403 OCONNOR RD STE 108
City SAN ANTONIO
State TX
Zip Code 78233-5391

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093353823 Hayley Brooke Miller Nurse Practitioner 11403 Oconnor Rd Ste 108, San Antonio, TX 78233-5391 2019-12-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477162451 Jennifer Chaghoury Chore Provider 4606 La Marquesa St, San Antonio, TX 78233 2020-07-27
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1841822749 Edilma Yosmara Medrano Nurse's Aide 209 Goforth Drive, San Antonio, TX 78233 2020-02-07
1578194411 Jorge Javier Jaramillo De La Torre Neurological Surgery Cuauhtemoc 380, Col. Moderna, San Luis Potosi, SLP 78233 2020-01-29
1174182000 Shenila Rajani Od Pllc Optometrist 12349 I-35, San Antonio, TX 78233 2019-06-13
1659935609 Mff Amber Oaks LLC Assisted Living Facility 4415 Rio Doro St., San Antonio, TX 78233 2019-04-25
1457862302 Antoinette Marie Powell Massage Therapist 14615 Interstate 35 N, Live Oak, TX 78233 2017-10-18
1154852150 Dustin William Koenning Pharmacist 6019 Randolph Blvd., San Antonio, TX 78233 2017-03-22
1316481153 U S Anesthesia Partners of Texas, Pa Physician Assistant 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233 2016-12-13
1477096121 Vanessa's Garden of Hope Assisted Living,llc Assisted Living Facility 4350 Shallow Water, San Antonio, TX 78233 2016-11-29
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184224834 Natasha Bakunda Nurse Practitioner Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 2020-10-30
1033719521 Macy Atkins Nurse Practitioner 6676 Utsa Blvd, San Antonio, TX 78249-5100 2020-10-26
1801494554 Yordanis Rafael Fonseca Vega Nurse Practitioner 12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217-2117 2020-10-14
1255939237 Ashley Elizabeth Swartz Nurse Practitioner 9502 Huebner Rd Ste 101, San Antonio, TX 78240-1683 2020-10-13
1871190173 Cynthia B Elkins Nurse Practitioner 24806 Terlingua Bnd, San Antonio, TX 78261-2726 2020-10-08
1588270623 Amanda Razo Nurse Practitioner 6315 Welles Arbor Cir, San Antonio, TX 78240-2148 2020-09-23
1255946935 Norberto Hernandez Iv Nurse Practitioner 11501 Braesview Apt 3903, San Antonio, TX 78213-1262 2020-09-10
1033723655 Hira Mughal Nurse Practitioner 9850 Twinbear Crk, San Antonio, TX 78245-9596 2020-09-01
1366055675 Maria Christina Cruz Tijerina Nurse Practitioner 18518 Hardy Oak Blvd Apt 135, San Antonio, TX 78258-4759 2020-08-26
1225649593 Gina M Duron Nurse Practitioner 10730 Green Trail Dr, San Antonio, TX 78223-4224 2020-08-11
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Competitor

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City SAN ANTONIO
Zip Code 78233

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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