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 1001 W Eagle Dr , Decatur TX 76234-3745. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wise County Medical & Surgical Association can be contacted via phone (940) 627-7443, or through Cannon, Casey via phone (817) 773-8938.

Contact Information

Primary practice address
1001 W Eagle Dr Decatur TX 76234-3745
Phone: (940) 627-7443
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Casey Nurse Practitioner (NP)
Phone: (817) 773-8938

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AP130210 Texas

Profile Details

NPI number 1891154365
LBN Legal business name Wise County Medical & Surgical Association
DBA Doing business as
Authorized official Cannon, Casey Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2016
Last updated Feb 16th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891154365 NPPES
Texas Other AP130210 NP LICENSE

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