| Dr Richard J Wiseman Pa | |
|
2500 S. Lakeline Blvd. Ste. 100 Cedar Park TX 78613-2968 | |
| (512) 345-8970 | |
| (512) 345-6689 |
| Full Name | Dr Richard J Wiseman Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2500 S. Lakeline Blvd., Cedar Park, Texas |
| Authorized Official Name and Position | Laura C Copeland (BILLING/INSURANCE MANAGER) |
| Authorized Official Contact | 5123458970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard J Wiseman Pa 2500 S. Lakeline Blvd. Ste. 100 Cedar Park TX 78613-2968 Ph: (512) 345-8970 | Dr Richard J Wiseman Pa 2500 S. Lakeline Blvd. Ste. 100 Cedar Park TX 78613-2968 Ph: (512) 345-8970 |
| NPI Number | 1477780567 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 02/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477780567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F0084 (Texas) | Primary |
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