Individual provider · Type 1 NPI
Kevin Len Wacasey, MD
General Practice Physician · Colleyville, TX
NPI number
1902825946
Active
Practice location
6400 Colleyville Blvd
Colleyville, TX 76034-6444
Fax (866) 929-9602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | K3519 (TX) |
| General Practice Physician Primary | 208D00000X | K3519 (TX) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
Other general practice physician providers in Colleyville
About NPI 1902825946
Kevin Len Wacasey, MD's National Provider Identifier is 1902825946, issued on Jul 19, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Colleyville, TX. The record was last updated on Feb 18, 2016.