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Organization
WISEMAN FAMILY PRACTICE PLLC
Active
Organization
WISEMAN FAMILY PRACTICE PLLC
Active
Other names
Wiseman Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA MICHEL (PRACTICE MANAGER)
(512) 345-8970
Entity
Organization
Contact information
Practice address
2500 S LAKELINE BLVD, SUITE 100, CEDAR PARK, TX 78613-2967
(512) 345-8970
(512) 345-6689
Mailing address
2500 S LAKELINE BLVD, SUITE 100, CEDAR PARK, TX 78613-2967
(512) 345-8970
(512) 345-6689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M9746
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114188497
NPI
—
Enumeration date
11/20/2013
Last updated
07/28/2025
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