STEPHEN MICHAEL WOLFORD LSA NPI 1912239286

NPI Information

NPI: 1912239286
Provider Name: STEPHEN MICHAEL WOLFORD, LSA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
540 MADISON OAK DR
STE 610
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 352-5346
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Stephen Michael Wolford, LSA is a surgical physician assistant in San Antonio, TX. Stephen Michael Wolford, LSA NPI is 1912239286. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

540 MADISON OAK DR
STE 610
SAN ANTONIO, TX
ZIP 78258-924
Phone: (210) 352-5346
Fax: (210) 352-5367

The enumeration date for this NPI number is 2/11/2010 and was last updated on 11/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	SA00465	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12678978	OTHER	TEXAS	CAQH
2	81NN10	OTHER	TEXAS	BCBSTX
3	SA00465	OTHER	TEXAS	LICENSE
4	118383	OTHER		NBSTSA BOARD CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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