| Wise Mind Tx | |
|
4904 Trimmier Rd Killeen TX 76542-3821 | |
| (254) 236-3364 | |
| (254) 488-3038 |
| Full Name | Wise Mind Tx |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4904 Trimmier Rd, Killeen, Texas |
| Authorized Official Name and Position | Barbra Wise (OWNER) |
| Authorized Official Contact | 9013661488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Mind Tx 4904 Trimmier Rd Killeen TX 76542-3821 Ph: (254) 236-3364 | Wise Mind Tx 4904 Trimmier Rd Killeen TX 76542-3821 Ph: (254) 236-3364 |
| NPI Number | 1851152383 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Medicare PECOS PAC ID | 0446778427 |
|---|---|
| Medicare Enrollment ID | O20250513003478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851152383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Barbara V Wise |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578586541 PECOS PAC ID: 8022110592 Enrollment ID: I20110615000216 |
| Provider Name | Maria Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003382250 PECOS PAC ID: 9133567191 Enrollment ID: I20240410000326 |
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