Wyatt, Douglas B

Wyatt, Douglas B is an sole proprietor health care provider with primary practice located at 3501 S Soncy Rd Ste 109 , Amarillo TX 79119-6405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Wyatt, Douglas B can be contacted via phone (806) 467-2888.

Contact Information

Primary practice address
3501 S Soncy Rd Ste 109 Amarillo TX 79119-6405
Phone: (806) 467-2888
Fax: (806) 467-2999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G9018 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G9018 Texas

Profile Details

NPI number 1801809439
LBN Legal business name Wyatt, Douglas B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated May 31st, 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 1801809439 NPPES
Texas MEDICAID 035017501
Texas Other 00N46H

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