Wiley, David Eric

Wiley, David Eric is an individual health care provider with primary practice located at 125 S Park Dr Suite E, Brownwood TX 76801-5952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wiley, David Eric can be contacted via phone (325) 641-2384.

Contact Information

Primary practice address
125 S Park Dr Suite E Brownwood TX 76801-5952
Fax: (325) 641-0418
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X L3184 Texas

Profile Details

NPI number 1841271376
LBN Legal business name Wiley, David Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Sep 17th, 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 1841271376 NPPES
Texas MEDICAID 152022301

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