Wise County Medical & Surgical Association
LBN: Wise County Medical & Surgical Association
Wise County Medical & Surgical Association is an health care organization with primary practice located at 1306 13Th St , Bridgeport TX 76426-2454. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Wise County Medical & Surgical Association can be contacted via phone (940) 627-7443, or through Walsh, Kala C via phone (940) 627-7829.
Contact Information
Primary practice address
1306 13Th St
Bridgeport TX 76426-2454
Phone: (940) 627-7443
Fax: (940) 627-7597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1497770390 |
|---|---|
| LBN Legal business name | Wise County Medical & Surgical Association |
| DBA Doing business as | |
| Authorized official | Walsh, Kala C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jul 8th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497770390 | NPPES |
| Texas | MEDICAID | 092162901 | |
| Texas | Other | CD5800 |
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