Wyrick Dermatology Association

NPI #1619977295 in Texarkana, Texas

Provider Information

NPI Number: 1619977295
Entity Type: Organization
Organization Name: Wyrick Dermatology Association
Primary Specialty: Clinic/Center
Enumeration Date: Jul 26, 2005
Last Updated: Apr 9, 2013

Practice Location

Address: 3333 POTOMAC AVE
City: Texarkana
State: Texas
ZIP Code: 75503-3513
Phone: (903) 792-3787

Authorized Official

Name: SCOTT W WYRICK, M.D.
Title: PRESIDENT
Phone: (903) 792-3787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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