Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENT MICHAEL WYATT, MD
Active Sole ProprietorDR. BRENT MICHAEL WYATT, MD is a Emergency Medical Services healthcare provider located in SOUTHLAKE, Texas. NPI 1346283025 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · SOUTHLAKE, TX
Registration Details
- NPI Number
- 1346283025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2006 (20.217430878637 yrs)
- Last Updated
- Mar 5, 2020
- License
-
M7769 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
910 S KIMBALL AVESOUTHLAKE, TX, 760929005Browse TX providers · Browse ZIP 76092
- Phone
- 8175273470
- Fax
- 8175273444
- Primary Specialty
-
Emergency Medical Services
207PE0004X
- Additional Specialty
- Emergency Medical Services
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.