| Matthew Wick, M.d., Pllc | |
|
1441 Pine St Abilene TX 79601 | |
| (325) 672-3252 | |
| (325) 480-9400 |
| Full Name | Matthew Wick, M.d., Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1441 Pine St, Abilene, Texas |
| Authorized Official Name and Position | Matthew E Wick (OWNER) |
| Authorized Official Contact | 3256723252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Wick, M.d., Pllc 1441 Pine St Abilene TX 79601-3534 Ph: (325) 672-3252 | Matthew Wick, M.d., Pllc 1441 Pine St Abilene TX 79601 Ph: (325) 672-3252 |
| NPI Number | 1124446836 |
|---|---|
| Provider Enumeration Date | 03/31/2014 |
| Last Update Date | 03/22/2019 |
| Medicare PECOS PAC ID | 1557588902 |
|---|---|
| Medicare Enrollment ID | O20140808001599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124446836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | P5147 (Texas) | Primary |
| Provider Name | Matthew E Wick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275779035 PECOS PAC ID: 9537347422 Enrollment ID: I20110623000486 |
| Provider Name | John Jeffrey Womble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811468515 PECOS PAC ID: 4789918210 Enrollment ID: I20190702003407 |
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