Individual provider · Type 1 NPI
Brent Michael Wyatt, MD
Emergency Medical Services (Emergency Medicine) Physician · Southlake, TX
Practice location
910 S Kimball Ave
Southlake, TX 76092-9005
Fax (817) 527-3444
Mailing address
2619 SE Military Dr Ste 101
San Antonio, TX 78223-4312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Emergency Medical Services (Emergency Medicine) Physician Primary | 207PE0004X | M7769 (TX) |
Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
About NPI 1346283025
Brent Michael Wyatt, MD's National Provider Identifier is 1346283025, issued on Jun 13, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Southlake, TX. The record was last updated on Mar 5, 2020.