Wyrick Dermatology Association in Texarkana - Clinic/center
Wyrick Dermatology Association - NPI 1619977295
Wyrick Dermatology Association is a Clinic/center in Texarkana, Texas. Wyrick Dermatology Association practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Wyrick Dermatology Association is 1619977295. The last update date is 2013-04-09.
Wyrick Dermatology Association's current location address is 3333 Potomac Ave, Texarkana, Texas. You can contact this provider via phone number 9037923787 and fax number 9037920446. The mailing address for Wyrick Dermatology Association is 3333 Potomac Ave, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wyrick Dermatology Association |
|---|---|
| Address | 3333 Potomac Ave, Texarkana, Texas |
| Phone Number | 9037923787 |
| Fax Number | 9037920446 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wyrick W Scott |
| Credentials | M.D. |
| Telephone Number | 9037923787 |
NPI Number Detail
| NPI Number | 1619977295 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2013-04-09 |
Provider Mailing Address Detail
| Address | 3333 Potomac Ave |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 755033513 |
| Phone Number | 9037923787 |
| Fax Number | 9037920446 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 109371802 | TX | -- | |
| 145002002 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Wyrick Dermatology Association by the Centers for Medicare & Medicaid Services?
The Wyrick Dermatology Association has been assigned the NPI (National Provider Identifier) 1619977295. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wyrick Dermatology Association's physical address?
The Wyrick Dermatology Association is physically located at 3333 Potomac Ave, in the city of Texarkana, TX, with the postal code 755033513.
What is Wyrick Dermatology Association's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wyrick Dermatology Association is Clinic/center, and the taxonomy code that categorizes this field of expertise is 261Q00000X.
On what date did the Wyrick Dermatology Association receive the assignment of its 1619977295 from the Centers for Medicare & Medicaid Services?
The Wyrick Dermatology Association was issued its 1619977295 by the Centers for Medicare & Medicaid Services on 2005-07-26.
When was the information related to Wyrick Dermatology Association most recently updated or refreshed?
The details pertaining to the Wyrick Dermatology Association, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-04-09.