Wickliffe, Garry Wayne

Wickliffe, Garry Wayne is an individual health care provider with primary practice located at 704 S Fleishel Ave , Tyler TX 75701-2014. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Wickliffe, Garry Wayne can be contacted via phone (903) 646-5350.

Contact Information

Primary practice address
704 S Fleishel Ave Tyler TX 75701-2014
Phone: (903) 646-5350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X SA00957 Texas

Profile Details

NPI number 1336724236
LBN Legal business name Wickliffe, Garry Wayne
Credentials LSA, CST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2021
Last updated Mar 31st, 2024 - about last year

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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