Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK WANSOM, MD
ActiveDERRICK WANSOM, MD is a Pain Medicine (Anesthesiology) healthcare provider located in SAN MARCOS, Texas. NPI 1306124912 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · SAN MARCOS, TX
Registration Details
- NPI Number
- 1306124912
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2011 (15.056397411358 yrs)
- Last Updated
- Nov 21, 2022
- Licenses
-
Q9077 (TX)Q9077 (TX)
Practice Information
- Address
-
1320 WONDER WORLD DR STE 106SAN MARCOS, TX, 786667558Browse TX providers · Browse ZIP 78666
- Phone
- 5128511165
- Fax
- 8339252433
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
- Additional Specialty
- Interventional Vascular Surgery
Other Pain Medicine (Anesthesiology) Providers in SAN MARCOS, TX
| Name | Credential | NPI |
|---|---|---|
| MR. HISHAM KHAN | — | 1366881815 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.