Wall, Vik

Wall, Vik is an individual health care provider with primary practice located at 500 W 4Th St , Odessa TX 79761-5001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wall, Vik can be contacted via phone (432) 640-1190.

Contact Information

Primary practice address
500 W 4Th St Odessa TX 79761-5001
Phone: (432) 640-1190
Fax: (432) 640-3489
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X H1675 Texas

Profile Details

NPI number 1780611806
LBN Legal business name Wall, Vik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Sep 1st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780611806 NPPES
Texas Other 8BB102 BCBSTX PROV. NO.
Texas MEDICAID 137851513 BCBSTX PROV. NO.
Texas MEDICAID 137851520 BCBSTX PROV. NO.

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