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Organization
WEST TEXAS ALLERGY, PA
Active
Organization
WEST TEXAS ALLERGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P WOLBERT MD (OWNER)
(432) 682-5385
Entity
Organization
Contact information
Practice address
5000 BRIARWOOD AVE STE 100, MIDLAND, TX 79707-2753
(432) 682-5385
(432) 682-1265
Mailing address
5000 BRIARWOOD AVE, MIDLAND, TX 79707-2753
(432) 682-5385
(432) 682-1265
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00608K
MEDICARE PTAN
TX
05
—
080863601
—
TX
Enumeration date
03/26/2007
Last updated
12/04/2024
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