Wysong, Charles Bradford
Wysong, Charles Bradford is an sole proprietor health care provider with primary practice located at 130 S Central Expy West Park Medical Center, Mckinney TX 75070-3742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wysong, Charles Bradford can be contacted via phone (972) 548-5308.Contact Information
Primary practice address
130 S Central Expy West Park Medical Center
Mckinney TX 75070-3742
Phone: (972) 548-5308
Fax: (972) 548-5433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | E1192 | Texas |
Profile Details
| NPI number | 1437113222 |
|---|---|
| LBN Legal business name | Wysong, Charles Bradford |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Jul 30th, 2009 - about 17 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 | 1437113222 | NPPES |
| Texas | MEDICAID | 126284203 |
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