Provider Demographics
NPI:1700662301
Name:WILKE, ANNA ELZBIETA (RRT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:ELZBIETA
Last Name:WILKE
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 COUNTY ROAD 2651
Mailing Address - Street 2:
Mailing Address - City:RIO MEDINA
Mailing Address - State:TX
Mailing Address - Zip Code:78066-2550
Mailing Address - Country:US
Mailing Address - Phone:708-878-9849
Mailing Address - Fax:
Practice Address - Street 1:7700 FLOYD CURL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3902
Practice Address - Country:US
Practice Address - Phone:210-575-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75919227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty