Organization
DR RICHARD J WISEMAN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA C COPELAND (BILLING/INSURANCE MANAGER)
(512) 345-8970
Entity
Organization
Contact information
Practice address
2500 S. LAKELINE BLVD., STE. 100, CEDAR PARK, TX 78613-2968
(512) 345-8970
(512) 345-6689
Mailing address
2500 S. LAKELINE BLVD., STE. 100, CEDAR PARK, TX 78613-2968
(512) 345-8970
(512) 345-6689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F0084
TX
Other
Enumeration date
06/16/2009
Last updated
02/22/2013
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