| Wyrick Dermatology Association | |
|
3333 Potomac Ave Texarkana TX 75503-3513 | |
| (903) 792-3787 | |
| (903) 792-0446 |
| Full Name | Wyrick Dermatology Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 3333 Potomac Ave, Texarkana, Texas |
| Authorized Official Name and Position | Scott W Wyrick (PRESIDENT) |
| Authorized Official Contact | 9037923787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyrick Dermatology Association 3333 Potomac Ave Texarkana TX 75503-3513 Ph: (903) 792-3787 | Wyrick Dermatology Association 3333 Potomac Ave Texarkana TX 75503-3513 Ph: (903) 792-3787 |
| NPI Number | 1619977295 |
|---|---|
| Provider Enumeration Date | 07/26/2005 |
| Last Update Date | 04/09/2013 |
| Medicare PECOS PAC ID | 5092904136 |
|---|---|
| Medicare Enrollment ID | O20110105000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619977295 | NPI | - | NPPES |
| 109371802 | Medicaid | TX | |
| 145002002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Scott W Wyrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114920972 PECOS PAC ID: 8527257666 Enrollment ID: I20110113001074 |
Express Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5483 Summerhill Rd, Texarkana, TX 75503 Phone: 903-223-5931 Fax: 903-223-5930 | |
Genesis Primecare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 Fax: 903-791-9353 | |
Genesisprimecare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 Fax: 903-791-9353 | |
Trimuph Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4082 Summerhill Sq, Texarkana, TX 75503 Phone: 903-793-7994 Fax: 903-793-7996 | |
Hygeia At Delphi Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6714 Lawson Cir, Texarkana, TX 75503 Phone: 903-556-9317 | |
Nathan J Wright Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2014 Galleria Oaks Dr, Texarkana, TX 75503 Phone: 903-792-2991 Fax: 903-793-7996 | |
Ranga Balasekaran Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 Texas Blvd Ste 401, Texarkana, TX 75501 Phone: 903-792-4146 Fax: 903-792-0586 |