Individual
DR. BARBARA V. WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2006-01124
NC
2084P0800X
Psychiatry Physician
M1406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280608501
—
TX
05
—
5907197
—
NC
01
—
8CV358
BCBS TX
TX
01
—
P00947336
RR MCR
TX
Enumeration date
07/25/2006
Last updated
04/08/2024
Update your record
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