Healthcare Provider Details

I. General information

NPI: 1093756801
Provider Name (Legal Business Name): GARY WAYNE BINKLEY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 02/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 S PARK DR
BROWNWOOD TX
76801-5917
US

IV. Provider business mailing address

PO BOX 1198
ABILENE TX
79604-1198
US

V. Phone/Fax

Practice location:
  • Phone: 325-643-3300
  • Fax: 325-641-8714
Mailing address:
  • Phone: 325-670-4372
  • Fax: 325-670-4040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberM0353
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: