Mrs. Angelica Wong Despain

MD | Pediatric Emergency Medicine | Female

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Complete Profile:

Mrs. Angelica Wong Despain basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Mrs. Angelica Wong Despain
Credential :	MD
Gender :	Female

Business Address:

Mrs. Angelica Wong Despain address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	333 N Santa Rosa San Antonio, TX, 78207-3108 United States
Phone Number :	210-704-2011

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1194136820
NPI Entity Type :	Individual
First Enrolment Date :	15 May, 2014
Last Updated On :	21 Jun, 2021

Medicare Participation:

Mrs. Angelica Wong Despain participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3274866389
Medicare Enrollment ID :	I20210331000055
Primary Specialty :	Pediatric Medicine
Medical School :	Washington University School Of Medicine
Graduation Year :	2015
Accepts Medicare?	Yes. Mrs. Angelica Wong Despain accepts medicare insurance.

Group Practice Association:

Mrs. Angelica Wong Despain is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mrs. Angelica Wong Despain is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Baylor College Of Medicine	0648405738	20	333 N Santa Rosa St San Antonio, TX - 782073108 Ph: 2107044849	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Angelica Wong Despain are as mentioned. Primary taxonomy code for Mrs. Angelica Wong Despain, MD is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	T0196	TX
208000000X	Pediatrics	No	MD045994	DC
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	T0196	TX

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	315 N San Saba Ste 1135 San Antonio, TX, 78207-3255 United States
Phone Number :	210-704-3030

Business Location:

Patients can refer following map for directions to Mrs. Angelica Wong Despain practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.