| Bryan Wieck Md Pa | |
|
1819 8th St Wichita Falls TX 76301-4212 | |
| (940) 322-9456 | |
| (940) 322-6759 |
| Full Name | Bryan Wieck Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1819 8th St, Wichita Falls, Texas |
| Authorized Official Name and Position | Bryan R Wieck (OWNER) |
| Authorized Official Contact | 9403229456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Wieck Md Pa 1808 Rose St Wichita Falls TX 76301-4219 Ph: (940) 322-9456 | Bryan Wieck Md Pa 1819 8th St Wichita Falls TX 76301-4212 Ph: (940) 322-9456 |
| NPI Number | 1346517182 |
|---|---|
| Provider Enumeration Date | 11/22/2011 |
| Last Update Date | 10/09/2012 |
| Medicare PECOS PAC ID | 4880856558 |
|---|---|
| Medicare Enrollment ID | O20120426000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346517182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | J0361 (Texas) | Primary |
| Provider Name | Bryan R Wieck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962401166 PECOS PAC ID: 3274544028 Enrollment ID: I20060509000285 |
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