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NPI Code Detail

MEDICARE: ASHLEY FAITH WYN

MEDICARE:   ASHLEY FAITH WYN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZE0600XElectroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number : 1376405811
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY FAITH WYN
Provider Business Mailing Address
First Line : 1819 JAY ELL DR
Second Line :
City : RICHARDSON
State : TX
Zip : 75081-2063
Country : US
Telephone Number : 888-344-2947
Fax Number : 888-694-2947
Provider Business Practice Location Address
First Line : 4502 MEDICAL DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4402
Country : US
Telephone Number : 210-358-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ ASHLEY FAITH WYN ” Practice Location

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