Individual
MICHAEL DARREN WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9601 SPUR 591, AMARILLO, TX 79107-9606
(806) 381-7080
Mailing address
12000 PERCELL ST, AMARILLO, TX 79118-3661
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1219692
TX
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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