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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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 1437113222 NPPES
Texas MEDICAID 126284203

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