Provider Demographics
NPI:1326381997
Name:SZYMANSKI, WENDY MARIE (OPA-C)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:MARIE
Last Name:SZYMANSKI
Suffix:
Gender:F
Credentials:OPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 ROCK CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77378-2372
Mailing Address - Country:US
Mailing Address - Phone:936-828-0937
Mailing Address - Fax:936-273-2106
Practice Address - Street 1:1100 ROCK CREEK DR
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77378-2372
Practice Address - Country:US
Practice Address - Phone:936-828-0937
Practice Address - Fax:936-273-2106
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2019-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXOPA-C 1197363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant