William J. Van Wyk M.d., P.a.

NPI 1073781050 - Clinic/Center - 261QM2500X

NPI Details
NPI 1073781050
Enumeration Date 02/13/2008
Last Updated 02/16/2011
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name WILLIAM J. WILLIAM
Position PRESIDENT
Phone (817) 877-3113
Fax (817) 877-0022
Practice Location
803 W TERRELL AVE
FORT WORTH TX, 76104-3155, US
Phone (817) 877-3113
Fax (817) 877-0022
Business Location
803 W TERRELL AVE
FORT WORTH TX, 76104-3155, US
Phone (817) 877-3113
Fax (817) 877-0022
Toxanomy
Taxonomy Code 261QM2500X
License State Texas
License Number D9696
Remove 1073781050 NPI Number
 

According to our database, William J. Van Wyk M.d., P.a. NPI is 1073781050, taxonomy code is 261QM2500X and license number is D9696, license state is located at Texas. William J. Van Wyk M.d., P.a. physically located at 803 W Terrell Ave, Fort Worth TX, 76104-3155. NPI Number 1033115704 has the healthcare provider type.

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1073781050 NPI number is provided on an as is basis without warranty of any kind. 1073781050 is maintained by the National Plan & Provider Enumeration System. The contents of William J. Van Wyk M.d., P.a. are for informational purposes only.