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NPI Code Detail

MEDICARE: WENDELL DREW FIELDER MD

MEDICARE:   WENDELL DREW FIELDER  MD
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
1208600000XSurgery PhysicianJ2001TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972500866
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDELL DREW FIELDER MD
Provider Business Mailing Address
First Line : 1601 TRINITY ST STE 704F
Second Line :
City : AUSTIN
State : TX
Zip : 78712-1765
Country : US
Telephone Number : 512-324-7873
Fax Number : 512-380-7503
Provider Business Practice Location Address
First Line : 1601 TRINITY ST STE 704F
Second Line :
City : AUSTIN
State : TX
Zip : 78712-1765
Country : US
Telephone Number : 512-324-7873
Fax Number : 512-380-7503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 12/15/2020

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Directions to “ WENDELL DREW FIELDER MD” Practice Location

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