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NPI Code Detail

MEDICARE: DR. BERNHARD J WOLF M.D.

MEDICARE: DR. BERNHARD J WOLF M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianJ0803TX

General Provider Information

NPI Number : 1649276825
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BERNHARD J WOLF M.D.
Provider Business Mailing Address
First Line : 513 W 7TH ST
Second Line :
City : PLAINVIEW
State : TX
Zip : 79072-6217
Country : US
Telephone Number : 956-827-8679
Fax Number : 809-296-7990
Provider Business Practice Location Address
First Line : 2222 W 24TH ST
Second Line : SUITE 6
City : PLAINVIEW
State : TX
Zip : 79072-1802
Country : US
Telephone Number : 956-827-8679
Fax Number : 806-296-7990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 08/27/2007

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