Wichita Falls Infectious Disease Assoc. P.a.

NPI #1265443030 in Wichita Falls, Texas

Provider Information

NPI Number: 1265443030
Entity Type: Organization
Organization Name: Wichita Falls Infectious Disease Assoc. P.a.
Primary Specialty: Specialist
Enumeration Date: Aug 10, 2006
Last Updated: Mar 17, 2008

Practice Location

Address: 1601 BROOK AVE
City: Wichita Falls
State: Texas
ZIP Code: 76301-5619
Phone: (940) 723-9226

Authorized Official

Name: MRS. MARY M BROOKING, CMOM, CMIS
Title: ADMINISTRATOR
Phone: (940) 723-9226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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