Wise County Medical & Surgical Association in Bridgeport - Body Imaging

Wise County Medical & Surgical Association - NPI 1497770390

Wise County Medical & Surgical Association is a Body Imaging in Bridgeport, Texas. Wise County Medical & Surgical Association practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Wise County Medical & Surgical Association is 1497770390. The last update date is 2010-07-08.

Wise County Medical & Surgical Association's current location address is 1306 13th St, Bridgeport, Texas. You can contact this provider via phone number 9406277443 and fax number 9406277597. The mailing address for Wise County Medical & Surgical Association is 1306 13th St, Bridgeport, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wise County Medical & Surgical Association
Address 1306 13th St, Bridgeport, Texas
Phone Number 9406277443
Fax Number 9406277597
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Walsh C Kala
Telephone Number 9406277829

NPI Number Detail

NPI Number 1497770390
Provider Enumeration Date 2006-07-12
Last Updated Date 2010-07-08

Provider Mailing Address Detail

Address 1306 13th St
City Bridgeport
State Texas (TX)
Post Code 764262454
Phone Number 9406277443
Fax Number 9406277597

Provider's Primary Taxonomy Detail

Speciality Body Imaging
Taxonomy 2085B0100X
Definition:
A Radiology doctor of Osteopathy that specializes in Body Imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
92162901 TX --
CD5800 TX RAILROAD

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FAQs about Wise County Medical & Surgical Association

What is the unique identifier code issued to Wise County Medical & Surgical Association by the Centers for Medicare & Medicaid Services (CMS)?

The Wise County Medical & Surgical Association has been assigned the NPI (National Provider Identifier) 1497770390. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Wise County Medical & Surgical Association is geographically located?

The Wise County Medical & Surgical Association is physically situated at the following location: 1306 13Th St, Bridgeport, TX, 764262454.

What is the Wise County Medical & Surgical Association's specialty and taxonomy code?

The Wise County Medical & Surgical Association's specialty is Body Imaging, and the corresponding taxonomy code is 2085B0100X.

On what date did the Wise County Medical & Surgical Association receive the assignment of its 1497770390 from the Centers for Medicare & Medicaid Services?

The Wise County Medical & Surgical Association was issued its 1497770390 by the Centers for Medicare & Medicaid Services on 2006-07-12.

When was the information related to Wise County Medical & Surgical Association most recently updated or refreshed?

The details pertaining to the Wise County Medical & Surgical Association, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-07-08.

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