Organization
WISE CLINICAL CARE ASSOCIATES
Active
Other names
Wise Clinical Care Associates - Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN TODD SCROGGINS (CFO)
(940) 626-1228
Entity
Organization
Contact information
Practice address
2432 AVONDALE HASLET RD STE 100, HASLET, TX 76052-3446
(817) 500-9636
(817) 439-8107
Mailing address
PO BOX 2078, DECATUR, TX 76234-6156
(817) 500-9636
(817) 439-8107
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0047SH
BCBSTX
TX
05
—
389084001
—
TX
Enumeration date
11/06/2018
Last updated
11/16/2020
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