DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. KIMBERLY EAKIN WEGENER M.D.

MEDICARE: DR. KIMBERLY EAKIN WEGENER 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
1207R00000XInternal Medicine PhysicianK0459TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110211298OTHERTXRR/MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4752616977118OTHERTXTRICARE
588485QOTHERTXBCBS

General Provider Information

NPI Number : 1750344966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY EAKIN WEGENER M.D.
Provider Business Mailing Address
First Line : PO BOX 846098
Second Line :
City : DALLAS
State : TX
Zip : 75284-6098
Country : US
Telephone Number : 903-324-6450
Fax Number :
Provider Business Practice Location Address
First Line : 8288 S BROADWAY AVE
Second Line :
City : TYLER
State : TX
Zip : 75703-5262
Country : US
Telephone Number : 903-593-1721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 10/14/2014

Similar Medicare Providers

1376549246 — JOHN JASON PAGE DO, PA
Practice Location Address:
8288 S BROADWAY AVE
TYLER, TX
75703-5262
Practice Phone: 903-606-7060
Practice Fax:
1659341055 — MARK M BARRET MD
Practice Location Address:
8288 S BROADWAY AVE
TYLER, TX
75703-5262
Practice Phone: 903-606-7060
Practice Fax:
1952373987 — MRS. CATHERINE ZILINSKAS GIORDANO APRN
Practice Location Address:
8288 S BROADWAY AVE
TYLER, TX
75703-5262
Practice Phone: 903-606-7060
Practice Fax:
1003881608 — DR. JOHN W SCROGGINS MD
Practice Location Address:
8288 S BROADWAY AVE
TYLER, TX
75703-5262
Practice Phone: 903-606-7060
Practice Fax:
1194743278 — DR. ROY BRENT WADLE D.O.
Practice Location Address:
8288 S BROADWAY AVE
TYLER, TX
75703-5262
Practice Phone: 903-606-7060
Practice Fax:
1235275314 — KURT NIELSEN MD
Practice Location Address:
8288 S BROADWAY AVE
TYLER, TX
75703-5262
Practice Phone: 903-606-7060
Practice Fax:

Directions to “ DR. KIMBERLY EAKIN WEGENER M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.