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Organization
WILLIAM J. VAN WYK M.D., P.A.
Active
Organization
WILLIAM J. VAN WYK M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J. VAN WYK M.D., P.A. (PRESIDENT)
(817) 877-3113
Entity
Organization
Contact information
Practice address
803 W TERRELL AVE, FORT WORTH, TX 76104-3155
(817) 877-3113
(817) 877-0022
Mailing address
803 W TERRELL AVE, FORT WORTH, TX 76104-3155
(817) 877-3113
(817) 877-0022
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D9696
TX
Other
Enumeration date
02/13/2008
Last updated
02/16/2011
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