Dr. Alyssa Jene Wilder, DO
Pediatrics in San Antonio, TX. Individual provider (NPI-1).
NPI number1316680010
StatusActive
Last updated in NPPESMay 13, 2025
Details
- NPI
- 1316680010
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alyssa Jene Wilder
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2022
- Certification date
- May 13, 2025
- Last updated
- May 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | V8426 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
333 N Santa RosaSan Antonio, TX 78207-3108
Phone 210-704-3030
Mailing address
3244 Donnelly Cir Apt 1105Fort Worth, TX 76107-5452
Phone 817-201-1330
Other practice locations
1 Baylor Plz # 405a
Houston, TX 77030-3411
Houston, TX 77030-3411
Phone 713-798-5928
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