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Contact Information

BRIAN M WICKWIRE, MD
600 N GARZA ST STE A
RIO GRANDE CITY, TX78582
 Phone: 956-487-0846
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRIAN M WICKWIRE · (Male)

NPI Number 1184622573
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2005
Last updated 08/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # L3524
  • TX Medicaid 154778801
Hospital affiliation(s)
  • DOCTORS HOSPITAL AT RENAISSANCE - (Acute Care)
    5501 SOUTH MCCOLL
    EDINBURG, TX 78539
  • SOUTH TEXAS HEALTH SYSTEM - (Acute Care)
    1102 W TRENTON ROAD
    EDINBURG, TX 78539
  • STARR COUNTY MEMORIAL HOSPITAL - (Acute Care)
    128 N FM RD 3167
    RIO GRANDE CITY, TX 78582
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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