| Wise County Medical & Surgical Association | |
|
1001 W Eagle Dr Decatur TX 76234-3745 | |
| (940) 627-7443 | |
| Not Available |
| Full Name | Wise County Medical & Surgical Association |
|---|---|
| Speciality | Family Medicine |
| Location | 1001 W Eagle Dr, Decatur, Texas |
| Authorized Official Name and Position | Casey Cannon (NURSE PRACTITIONER) |
| Authorized Official Contact | 8177738938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise County Medical & Surgical Association 1001 W Eagle Dr Decatur TX 76234-3745 Ph: (940) 627-8982 | Wise County Medical & Surgical Association 1001 W Eagle Dr Decatur TX 76234-3745 Ph: (940) 627-7443 |
| NPI Number | 1891154365 |
|---|---|
| Provider Enumeration Date | 02/12/2016 |
| Last Update Date | 02/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891154365 | NPI | - | NPPES |
| AP130210 | Other | TX | NP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AP130210 (Texas) | Primary |
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