Wyrick, Scott W
Wyrick, Scott W is an sole proprietor health care provider with primary practice located at 3333 Potomac Ave , Texarkana TX 75503-3513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wyrick, Scott W can be contacted via phone (903) 792-3787.Contact Information
Primary practice address
3333 Potomac Ave
Texarkana TX 75503-3513
Phone: (903) 792-3787
Fax: (903) 792-0446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J2424 | Texas |
Profile Details
| NPI number | 1114920972 |
|---|---|
| LBN Legal business name | Wyrick, Scott W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114920972 | NPPES |
| Texas | Other | 80451Y | BLUE CROSS |
| Texas | Other | T0120358 | BLUE CROSS |
| Texas | Other | 070016709 | BLUE CROSS |
| Texas | MEDICAID | 150168601 | BLUE CROSS |
| Texas | Other | 8312J1 | BLUE CROSS |
| Texas | Other | 99096 | BLUE CROSS |
| Texas | MEDICAID | 148032001 | BLUE CROSS |
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