Individual provider · Type 1 NPI
Lori Rae Wimberley, P.A.
Medical Physician Assistant · Irving, TX
NPI number
1144311002
Active
Practice location
122 Village Ctr
Irving, TX 75061-2647
Fax (972) 573-2155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 01269 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1144311002
Lori Rae Wimberley, P.A.'s National Provider Identifier is 1144311002, issued on Sep 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Irving, TX. The record was last updated on Mar 18, 2011.