Organization Active NPI

Drew H Wyrick MD PA

  • Internal Medicine Physician
  • Tyler, TX
National Provider Identifier
1639354665
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DREW H WYRICK MD PA
Practice address
1310 Clinic Dr
Tyler, TX 75701-2119
Phone
(903) 747-3910
Fax
(903) 617-6662
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Drew H Wyrick, MD
Title
Owner
Phone
(903) 747-3910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X TX Primary

Addresses

Primary practice location

1310 Clinic Dr
Tyler, TX 75701-2119

Mailing address

PO Box 132890
Tyler, TX 75713-2890
Phone (903) 747-3910

National Provider Directory

National Provider Directory

Locations

1310 Clinic Dr
Tyler, TX 75701
Phone (903) 596-7775

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1639354665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132890",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757132890",
            "telephone_number": "903-747-3910",
            "fax_number": "903-617-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 CLINIC DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012119",
            "telephone_number": "903-747-3910",
            "fax_number": "903-617-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW H WYRICK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "WYRICK",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-747-3910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.