JACOB JOHN WINGERTER

AUSTIN, TX
NPI1043501976
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: TX  BP1-0039540)
Enumeration Date2011-04-26
Last Update Date2011-04-26
Business Address
JACOB JOHN WINGERTER
4900 MUELLER BLVD STE 3S.066C
AUSTIN, TX 78723-3079
Phone number: 406-868-9735
Mailing Address
JACOB JOHN WINGERTER
4900 MUELLER BLVD STE 3S.066C
AUSTIN, TX 78723-3079
Phone number: 406-868-9735