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NPI Code Detail

MEDICARE: RWPK PLLC

MEDICARE: RWPK PLLC
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
11223P0221XPediatric Dentistry25425TX

General Provider Information

NPI Number : 1356762223
Entity Type Code : Organization
Provider Name (Legal Business Name) : RWPK PLLC
Provider Business Mailing Address
First Line : 10003 NW MILITARY HWY STE 3201
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78231-1892
Country : US
Telephone Number : 210-417-4181
Fax Number : 210-417-4181
Provider Business Practice Location Address
First Line : 10003 NW MILITARY HWY STE 3201
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78231-1892
Country : US
Telephone Number : 210-417-4181
Fax Number : 210-417-4181
Authorized Official
Title or Position : OWNER/DOCTOR
Name : REX E WILDEY
Credential : D.D.S.
Telephone Number : 210-417-4181
Provider Enumeration Date : 12/19/2013
Last Update Date : 12/19/2013

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Directions to “RWPK PLLC ” Practice Location

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