SearchTexas183500000X

Richard Wisener

NPI 1124617683 · on the registry since 2021

Practice

Address
104 N Main St
Huntington, TX 75949
Phone
(936) 876-5159
Fax
(936) 422-4821
Organisation at this address
Brookshire Brothers Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas