Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. James Connor Wistrom, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508420209

Dr. James Connor Wistrom, MD is a Student in an Organized Health Care Education/Training Program in San Antonio, Texas. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7703 Floyd Curl Dr # 7742
San Antonio, TX 78229-3901
Phone: (210) 567-5711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (KY)

Record details

NPI number1508420209
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 28, 2019
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021

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