Individual
BRIAN WINGFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10008 PILOT AVE, MIDLAND, TX 79706-2615
(432) 563-4144
Mailing address
10008 PILOT AVE, MIDLAND, TX 79711
(432) 563-4144
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201323
TX
Other
Enumeration date
12/08/2013
Last updated
03/05/2015
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