| Mr Justin Wilder, RN | |
|
201 Lavaca St, Austin, TX 78701-3960 | |
| (754) 234-0938 | |
| Not Available |
| Full Name | Mr Justin Wilder |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Addiction (substance Use Disorder) |
| Location | 201 Lavaca St, Austin, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144731357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | 930303 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin Wilder, RN 201 Lavaca St, Austin, TX 78701-3960 Ph: () - | Mr Justin Wilder, RN 201 Lavaca St, Austin, TX 78701-3960 Ph: (754) 234-0938 |
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