Wise County Medical & Surgical Association
NPI #1497770390 in Bridgeport, Texas
Provider Information
- NPI Number
- 1497770390
- Entity Type
- Organization
- Organization Name
- Wise County Medical & Surgical Association
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 12, 2006
- Last Updated
- Jul 8, 2010
Practice Location
- Address
- 1306 13TH ST
- City
- Bridgeport
- State
- Texas
- ZIP Code
- 76426-2454
- Phone
- (940) 627-7443
Authorized Official
- Name
- KALA C WALSH
- Title
- ADMINISTRATOR
- Phone
- (940) 627-7829
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Body Imaging — Body Imaging |
| Surgery |
| Family Medicine |
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