person
Dr. Ian Richard Wisecarver, MD
Student in an Organized Health Care Education/Training Program in Dallas, Texas
NPI 1437648698

Ian Richard Wisecarver is a Student in an Organized Health Care Education/Training Program based in Dallas, TX. Ian Richard Wisecarver practices in Dallas, TX and has the professional credentials of MD. The NPI Number for Ian Richard Wisecarver is 1437648698 and holds a License No. X91 (Texas).

The current practice location address for Ian Richard Wisecarver is 5323 Harry Hines Blvd, Dallas, TX and can be reached out via phone at 214-645-2353.

Location: 5323 Harry Hines Blvd, Dallas, TX, 75390-7201
person
Provider Profile Details
NPI Number
1437648698
Provider Name
Ian Richard Wisecarver
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5323 Harry Hines Blvd, Dallas, TX, 75390-7201
Phone Number
214-645-2353
Fax Number
Provider Enumeration Date
05/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5323 Harry Hines Blvd
City
State
Zip
75390-7201
Phone Number
214-645-2353
Fax Number
person
Provider Business Mailing Address Details
Address
5323 Harry Hines Blvd
City
State
Zip
75390-7201
Phone Number
214-645-2353
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
()
Definition
A surgeon who specializes in plastic and reconstructive surgery.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
X91 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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