Individual
DR. PAUL WILLIAM WUTHRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3811 SAGEBRIAR DR, BRYAN, TX 77802-6107
(979) 774-0498
Mailing address
20850 FM 159 RD, NAVASOTA, TX 77868-7014
(936) 825-7535
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H8528
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8R9482
BCBS ID #
TX
Enumeration date
08/31/2006
Last updated
07/08/2007
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