Organization · Type 2 NPI
William J. Van Wyk M.d., P.a.
Medical Specialty Clinic/Center · Fort Worth, TX
Practice location
803 W Terrell Ave
Fort Worth, TX 76104-3155
Fax (817) 877-0022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | D9696 (TX) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
3 other providers at this address
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About NPI 1073781050
William J. Van Wyk M.d., P.a.'s National Provider Identifier is 1073781050, issued on Feb 13, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 16, 2011.