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Individual

DR. PRISCILLA J METCALF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10119 US HIGHWAY 59 SOUTH, SUITE 4, WHARTON, TX 77488-9719
(979) 533-7337
(979) 488-2918
Mailing address
10119 US HIGHWAY 59 SOUTH, SUITE 4, WHARTON, TX 77488-9719
(979) 533-7337
(979) 488-2918

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G2783
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119164508
TX
01
8HB479
BCBS
TX
01
P01948495
RAILROAD MEDICARE PTAN
TX
Enumeration date
04/14/2006
Last updated
01/06/2022
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