1437113222 NPI number — CHARLES BRADFORD WYSONG MD

Table of content: CHARLES BRADFORD WYSONG MD (NPI 1437113222)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437113222 NPI number — CHARLES BRADFORD WYSONG MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WYSONG
Provider First Name:
CHARLES
Provider Middle Name:
BRADFORD
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437113222
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/30/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 740968
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75374-0968
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-945-2455
Provider Business Mailing Address Fax Number:
903-453-2541

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
130 S CENTRAL EXPY
Provider Second Line Business Practice Location Address:
WEST PARK MEDICAL CENTER
Provider Business Practice Location Address City Name:
MCKINNEY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75070-3742
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-548-5308
Provider Business Practice Location Address Fax Number:
972-548-5433
Provider Enumeration Date:
04/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  E1192 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 126284203 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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