Provider Demographics
NPI:1982142295
Name:WICHITA FALLS STAFFING SOLUTIONS
Entity Type:Organization
Organization Name:WICHITA FALLS STAFFING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-761-6004
Mailing Address - Street 1:811 6TH ST
Mailing Address - Street 2:STE 210
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-2532
Mailing Address - Country:US
Mailing Address - Phone:940-761-6004
Mailing Address - Fax:
Practice Address - Street 1:811 6TH ST
Practice Address - Street 2:STE 210
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-2532
Practice Address - Country:US
Practice Address - Phone:940-761-6004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care