Organization
BRAD WYSONG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES B WYSONG MD (MD)
(972) 548-5308
Entity
Organization
Contact information
Practice address
130 S CENTRAL EXPY, MCKINNEY, TX 75070-3742
(972) 548-5308
(972) 548-5433
Mailing address
PO BOX 740968, DALLAS, TX 75374-0968
(800) 945-2455
(469) 742-0771
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/22/2009
Last updated
07/30/2009
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