Individual
BRENDA L WYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER-FAM
Contact information
Practice address
141 RVG PKWY STE 104, WAXAHACHIE, TX 75165-5288
(972) 923-8923
(888) 339-3357
Mailing address
141 RVG PKWY STE 101, WAXAHACHIE, TX 75165-5289
(972) 923-8923
(888) 339-3357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
565424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
565424
LICENSE
TX
Enumeration date
07/10/2006
Last updated
04/21/2020
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