Wiley, Brian A
Wiley, Brian A is an individual health care provider with primary practice located at 407 W Danieldale Rd # 100 , Duncanville TX 75137-3927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wiley, Brian A can be contacted via phone (214) 941-3192.Contact Information
Primary practice address
407 W Danieldale Rd # 100
Duncanville TX 75137-3927
Phone: (214) 941-3192
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME102576 | Texas |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R0343 | Texas |
Profile Details
NPI number | 1346490851 |
---|---|
LBN Legal business name | Wiley, Brian A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 22nd, 2008 |
Last updated | Feb 19th, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346490851 | NPPES |
Texas | Other | P00811430 | RAILROAD MEDICARE |
Texas | MEDICAID | 000433500 | RAILROAD MEDICARE |
Texas | Other | 30675 | RAILROAD MEDICARE |
Texas | Other | AS713Y | RAILROAD MEDICARE |
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