Wiley, Robert

Wiley, Robert is an individual health care provider with primary practice located at 1850 Hickory St Suite #102, Abilene TX 79601-2334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wiley, Robert can be contacted via phone (325) 677-2801.

Contact Information

Primary practice address
1850 Hickory St Suite #102 Abilene TX 79601-2334
Phone: (325) 677-2801
Fax: (325) 677-9110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X J9440 Texas

Profile Details

NPI number 1124038104
LBN Legal business name Wiley, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Aug 19th, 2011 - about 13 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 1124038104 NPPES
Texas Other 113394 SUPERIOR / CHIP
Texas Other 86X084 SUPERIOR / CHIP
Texas MEDICAID 111645104 SUPERIOR / CHIP
Texas Other 126868100 SUPERIOR / CHIP

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