DERRICK WANSOM, MD

Anesthesiology - Pain Medicine

Active Individual
NPI: 1306124912

Practice Address

1320 WONDER WORLD DR STE 106
San Marcos, TX 78666

Phone: (512) 851-1165

Specialties

Specialty Code Primary License
Anesthesiology - Pain Medicine 207LP2900X Yes Q9077 (TX)
Pain Medicine - Interventional Pain Medicine 208VP0014X No Q9077 (TX)

Frequently Asked Questions

NPI 1306124912 is the National Provider Identifier for DERRICK WANSOM, MD, a Anesthesiology - Pain Medicine provider located in San Marcos, TX. This NPI was enumerated on July 31, 2011.
DERRICK WANSOM, MD practices at 1320 WONDER WORLD DR STE 106, San Marcos, TX 78666.

Quick Facts

NPI
1306124912
Type
Individual
Enumerated
Jul 31, 2011
Last Updated
Nov 21, 2022

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