Individual
DR. RICHARD JAY WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G3916
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120423204
—
TX
05
—
120423207
—
TX
01
—
8EW787
BCBS
TX
01
—
P01446937
RR
TX
Enumeration date
05/12/2006
Last updated
04/23/2020
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