=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013813708
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRITTANY WOLFE
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/19/2026
-----------------------------------------------------
Last Update Date | 10/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 502 S OLD ROBINSON RD
-----------------------------------------------------
City | ROBINSON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76706-5517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 254-644-0536
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 502 S OLD ROBINSON RD
-----------------------------------------------------
City | ROBINSON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76706-5517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 254-644-0536
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 896342
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------