Organization
SAW EYE ASSOCIATES PA
Active
Other names
Shelby A Wyll MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELBY A WYLL MD (PRESIDENT)
(972) 494-1451
Entity
Organization
Contact information
Practice address
1626 FOREST LANE, STE C, GARLAND, TX 75042
(972) 494-1451
(972) 494-2105
Mailing address
1626 FOREST LANE, STE C, GARLAND, TX 75042
(972) 494-1451
(972) 494-2105
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D5258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180025949
RR MED
TX
05
—
196845501
—
TX
05
—
196845502
—
TX
01
—
83035Z
BCBS
TX
Enumeration date
04/18/2006
Last updated
02/20/2009
Update your record
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