Individual provider · Type 1 NPI

Joel Wise, PA

Surgical Physician Assistant · Fort Worth, TX

NPI number 1548752744 Active

Practice location

1325 Pennsylvania Ave Ste 680
Fort Worth, TX 76104

Fax (817) 885-7701

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA12151 (TX)

Surgical Physician Assistant: Definition to come...

6 other providers at this address

Other surgical physician assistant providers in Fort Worth

See all in Fort Worth →

About NPI 1548752744

Joel Wise, PA's National Provider Identifier is 1548752744, issued on Jun 4, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 2, 2018.