Wiley, Brian A

Wiley, Brian A is an individual health care provider with primary practice located at 407 W Danieldale Rd # 100 , Duncanville TX 75137-3927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wiley, Brian A can be contacted via phone (214) 941-3192.

Contact Information

Primary practice address
407 W Danieldale Rd # 100 Duncanville TX 75137-3927
Phone: (214) 941-3192
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME102576 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R0343 Texas

Profile Details

NPI number 1346490851
LBN Legal business name Wiley, Brian A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2008
Last updated Feb 19th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346490851 NPPES
Texas Other P00811430 RAILROAD MEDICARE
Texas MEDICAID 000433500 RAILROAD MEDICARE
Texas Other 30675 RAILROAD MEDICARE
Texas Other AS713Y RAILROAD MEDICARE

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