Michael Louis Wyman in Dallas - Neonatal-perinatal Medicine
Michael Louis Wyman - NPI 1154371565
Michael Louis Wyman is a Neonatal-perinatal Medicine in Dallas, Texas. Michael Louis Wyman practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Michael Louis Wyman is 1154371565. The last update date is 2007-07-08.
Michael Louis Wyman's current location address is 3500 Gaston Ave, Dallas, Texas. You can contact this provider via phone number 2148204012 and fax number 2148207757. The mailing address for Michael Louis Wyman is 3500 Gaston Ave, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Louis Wyman |
|---|---|
| Address | 3500 Gaston Ave, Dallas, Texas |
| Phone Number | 2148204012 |
| Fax Number | 2148207757 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154371565 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3500 Gaston Ave |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752462096 |
| Phone Number | 2148204012 |
| Fax Number | 2148207757 |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal-perinatal Medicine |
|---|---|
| Taxonomy | 2080N0001X |
| Licence No | J5952 |
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Definition: A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P088E3884 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Louis Wyman by the Centers for Medicare & Medicaid Services?
The Michael Louis Wyman has been assigned the NPI (National Provider Identifier) 1154371565. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael Louis Wyman?
The Michael Louis Wyman is physically situated at 3500 Gaston Ave, in the city of Dallas, state of TX, with the postal code 752462096.
What is the Michael Louis Wyman's specialty and taxonomy code?
The Michael Louis Wyman's specialty is Neonatal-perinatal Medicine, and the corresponding taxonomy code is 2080N0001X.
On what date did the Michael Louis Wyman receive its 1154371565 assignment from the Centers for Medicare & Medicaid Services?
The Michael Louis Wyman was assigned its 1154371565 by the Centers for Medicare & Medicaid Services on 2006-05-10.
As of what date were the details related to Michael Louis Wyman most recently updated or revised?
The information pertaining to Michael Louis Wyman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.