Individual
MUSA A WADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1208 BROOK AVE, WICHITA FALLS, TX 76301-5602
(940) 322-4480
(940) 322-8420
Mailing address
1208 BROOK AVE, WICHITA FALLS, TX 76301-5602
(940) 322-4480
(940) 322-8420
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
P5312
TX
207RP1001X
Pulmonary Disease Physician
1999139399
MO
207RP1001X
Pulmonary Disease Physician
P5312
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
P5312
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999139399
MISSOURI LICENSE
MO
05
—
322868601
—
TX
05
—
322868602
—
TX
05
—
322868603
—
TX
01
—
P01264355
MEDICARE RAILROAD
TX
Enumeration date
08/11/2006
Last updated
03/21/2017
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