WAYNE CLINTON WISE

SAN MARCOS, TX
NPI1982695458
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  682283)
Enumeration Date2005-11-02
Last Update Date2014-09-09
Business Address
Mr. WAYNE CLINTON WISE CRNA
1305 WONDER WORLD DR STE 105
SAN MARCOS, TX 78666-7502
Phone number: 512-353-8161
Mailing Address
Mr. WAYNE CLINTON WISE CRNA
660 RIDGE HILL DR
NEW BRAUNFELS, TX 78130-6607
Phone number: 830-624-7803
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