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Dr. Brent Michael Wyatt, MD
Emergency Medical Services (Emergency Medicine) Physician in Southlake, Texas
NPI 1346283025

Brent Michael Wyatt is a Emergency Medical Services (Emergency Medicine) Physician based in San Antonio, TX and is specialized in Emergency Medical Services. Brent Michael Wyatt practices in Southlake, TX and has the professional credentials of MD. The NPI Number for Brent Michael Wyatt is 1346283025 and holds a License No. (Texas).

The current practice location address for Brent Michael Wyatt is 910 S Kimball Ave, Southlake, TX and can be reached out via phone at 817-527-3470 and via fax at 817-527-3444.

Location: 910 S Kimball Ave, Southlake, TX, 78223-4312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346283025
Provider Name
Brent Michael Wyatt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
910 S Kimball Ave, Southlake, TX, 78223-4312
Phone Number
817-527-3470
Fax Number
817-527-3444
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
189948601 05 TX
8AH272 01 TX BCBS
189948603 05 TX
institution
Provider Business Practice Location Address Details
Address
910 S Kimball Ave
City
Southlake
State
Texas
Zip
76092-9005
Phone Number
817-527-3470
Fax Number
817-527-3444
person
Provider Business Mailing Address Details
Address
910 S Kimball Ave
City
Southlake
State
Texas
Zip
76092-9005
Phone Number
817-527-3470
Fax Number
817-527-3444
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
M7769 (Texas)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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