Individual
FIONA M WYCOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
850 CENTRAL PKWY E, SUITE 275, PLANO, TX 75074-5561
(972) 881-4688
(972) 881-4609
Mailing address
850 CENTRAL PKWY E, SUITE 275, PLANO, TX 75074-5561
(972) 881-4688
(972) 881-4609
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N0136
BCBS
TX
01
—
P01054027
RAILROAD PTAN
TX
Enumeration date
01/21/2010
Last updated
08/08/2014
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