Dr Brian A Wiley, MD | |
407 W Danieldale Rd # 100, Duncanville, TX 75137-3927 | |
(214) 941-3192 | |
Not Available |
Full Name | Dr Brian A Wiley |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 407 W Danieldale Rd # 100, Duncanville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346490851 | NPI | - | NPPES |
P00811430 | Other | TX | RAILROAD MEDICARE |
000433500 | Medicaid | TX | |
30675 | Other | TX | BCBS OF FLORIDA |
AS713Y | Other | TX | MEDICARE UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME102576 (Texas) | Secondary |
207Q00000X | Family Medicine | R0343 (Texas) | Primary |
Entity Name | Texas Pain Relief Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003246299 PECOS PAC ID: 2668603952 Enrollment ID: O20140331000940 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian A Wiley, MD 504 N Reo St, Tampa, FL 33609-1013 Ph: (813) 549-2134 | Dr Brian A Wiley, MD 407 W Danieldale Rd # 100, Duncanville, TX 75137-3927 Ph: (214) 941-3192 |
Dr. Richard Scott Bryant, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1014 E Wheatland Rd, Duncanville, TX 75116 Phone: 214-550-2330 Fax: 214-550-2331 | |
Bibiana Ladino Gutierrez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 903 S Main St, Ste. B 107, Duncanville, TX 75137 Phone: 972-773-9873 | |
Dr. Meredith G Amos, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 319 S Cedar Ridge Dr, Duncanville, TX 75116 Phone: 972-584-0700 | |
Michael L Freeman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 545 W Wheatland Rd, Duncanville, TX 75116 Phone: 972-298-7191 Fax: 972-296-8242 | |
Joe Arnold Phipps, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 S Cedar Ridge Dr, Duncanville, TX 75116 Phone: 972-298-6174 Fax: 972-709-1570 | |
Dr. Charles Ross, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 726 S Cockrell Hill Rd, Duncanville, TX 75137 Phone: 972-780-0802 Fax: 972-780-7134 |