Individual
BRYAN WIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 8TH ST, WICHITA FALLS, TX 76301-3105
(940) 264-8818
(940) 264-8819
Mailing address
1410 8TH ST, WICHITA FALLS, TX 76301-3105
(940) 264-8818
(940) 264-8819
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J0361
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T02F
BLUE CROSS BLUE SHIELD
TX
05
—
100158970A
—
OK
05
—
115962602
—
TX
01
—
122759
SUPERIOR
TX
01
—
126829100
FIRSTCARE
TX
01
—
128381
MHN
TX
01
—
168446
COMPSYCH
TX
01
—
208776
VALUEOPTIONS
TX
01
—
5674356
FIRST HEALTH/CCN
TX
01
—
5982351
AETNA BEHAVIORAL HEALTH
TX
01
—
MDJ0361
WORKERS COMPENSATION
TX
Enumeration date
07/19/2005
Last updated
02/27/2025
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