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NPI Code Detail

MEDICARE: DR. DAVID MORRIS WIMBERLY MD

MEDICARE: DR. DAVID MORRIS WIMBERLY MD
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
1174400000XSpecialistH5279TX
2207L00000XAnesthesiology PhysicianH5279TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629170519
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID MORRIS WIMBERLY MD
Provider Business Mailing Address
First Line : 1002 GEMINI ST STE 128
Second Line :
City : HOUSTON
State : TX
Zip : 77058-2746
Country : US
Telephone Number : 281-218-9515
Fax Number : 281-218-9534
Provider Business Practice Location Address
First Line : 1002 GEMINI ST STE 128
Second Line :
City : HOUSTON
State : TX
Zip : 77058-2746
Country : US
Telephone Number : 281-218-9515
Fax Number : 281-218-9534
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2006
Last Update Date : 08/24/2015

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Directions to “ DR. DAVID MORRIS WIMBERLY MD” Practice Location

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