Derrick Wansom, MD is an interventional pain medicine pain medicine in Austin, TX with 13 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Derrick Wansom, MD NPI is 1306124912. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011
The provider's business location address is:
4100 DUVAL RD
BLDG 3 STE 200
AUSTIN, TX
ZIP 78759-275
Phone: (512) 485-7200
Fax: (512) 485-7224
The NPI 1306124912 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/31/2011 and was last updated on 5/29/2019.