Individual
DR. JASON B WISCHMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4004 82ND ST STE D, LUBBOCK, TX 79423-2065
(806) 722-3144
(806) 722-3145
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3537
(806) 761-0333
(806) 785-7685
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
J5676
TX
207RI0011X
Interventional Cardiology Physician
Primary
J5676
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104156801
—
TX
05
—
104156802
—
TX
05
—
104156803
—
TX
Enumeration date
05/04/2006
Last updated
12/07/2021
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