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John Creedmore Wyatt III, MD
Diagnostic Radiology Physician in Mesquite, Texas
NPI 1871584904

John Creedmore Wyatt III is a Diagnostic Radiology Physician based in Dallas, TX and is specialized in Diagnostic Radiology. John Creedmore Wyatt III practices in Mesquite, TX and has the professional credentials of MD. The NPI Number for John Creedmore Wyatt III is 1871584904 and holds a License No. E6695 (Texas).

The current practice location address for John Creedmore Wyatt III is 529 N Galloway Ave, Mesquite, TX and can be reached out via phone at 972-216-4411 and via fax at 972-216-7346.

Location: 529 N Galloway Ave, Mesquite, TX, 75218-0065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871584904
Provider Name
John Creedmore Wyatt III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
529 N Galloway Ave, Mesquite, TX, 75218-0065
Phone Number
972-216-4411
Fax Number
972-216-7346
Provider Enumeration Date
10/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
88R743 01 TX BCBS
117996202 05 TX
B005 01 TX CHAMPUS
institution
Provider Business Practice Location Address Details
Address
529 N Galloway Ave
City
Mesquite
State
Texas
Zip
75149-3420
Phone Number
972-216-4411
Fax Number
972-216-7346
person
Provider Business Mailing Address Details
Address
529 N Galloway Ave
City
Mesquite
State
Texas
Zip
75149-3420
Phone Number
972-216-4411
Fax Number
972-216-7346
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
E6695 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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