Wesley Clifford Gustafson III

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

659876 Issued in TX

Practice address

2211 Zion Hill Rd
Weatherford, TX 76088-8932

Phone

(817) 988-4926

NPI assigned

Dec 3, 2020

Last updated

Dec 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1699370973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 ZION HILL RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760888932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 ZION HILL RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760888932",
            "telephone_number": "817-988-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "WESLEY",
        "middle_name": "CLIFFORD",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "659876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Illeana Guillen, FNP
• Robert M Gullinese, MD
• Amelia Ann Gunter, MD
• Gupta, D.O. & Associates, LLC (Integra Urgent Care)
• Karan Gupta, D.O
• Alma Maria Gutierrez
• Miguel A Gutierrez, MD
• Suzanne M Guynes, MD
• Deborah Hachtel
• Kylena Hager

• Registered Nurse in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.