Individual ProviderGabriel D. WanderNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019(512) 454-2554PECOS EnrollmentBased on the most recent information from CMS, provider Gabriel D. Wander does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1245429513Provider TypeIndividualFull NameWander, Gabriel D.CredentialCRNAGenderMaleSole ProprietorNoEnumeration Date10/23/2007Last Updated3/24/2017Contact InformationPractice LocationPractice Address3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019Phone(512) 454-2554FaxUnlisted FaxMailing LocationMailing Address3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP132503TexasCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN00151577Washington