WISE COUNTY MEDICAL & SURGICAL ASSOCIATION
NPI 1467652370
Family Medicine in Decatur, TX

Q: What is Wise County Medical & Surgical Association's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 19, 2007CLIA 45D0711795 · Waiver

1001 W EAGLE DR, DECATUR, TX 76234(940) 627-7443(940) 627-7464 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wise County Medical & Surgical Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISE COUNTY MEDICAL & SURGICAL ASSOCIATION (NPI 1467652370) is a healthcare organization registered as a family medicine in Decatur, Texas and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Robin S Barnes, Network Relations, as its authorized official.

NPPES Registry Identity

NPI1467652370

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWISE COUNTY MEDICAL & SURGICAL ASSOCIATION

Location Address1001 W EAGLE DRDecatur, TX 76234-3745

Mailing Address1001 W Eagle DrDecatur, TX 76234-3745 · (940) 627-7443 · Fax (940) 627-7464

Phone(940) 627-7443

Fax(940) 627-7464

Organization SubpartNo

Authorized OfficialRobin S BarnesNetwork Relations · (940) 627-8982

Enumeration DateJuly 19, 2007

Last NPPES UpdateJuly 8, 2010

✔ NPI 1467652370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1001 W EAGLE DR, Decatur, TX 76234

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Other Identifiers 4

OtherCD5800TX · Railroad Medicare

Medicaid092162901TX

Medicare PIN00U42MTX

Medicaid092162902TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0711795

Wise County Medical & Surgical, Decatur · Decatur, TX

Active · expires Jan 16, 2027

CLIA Number45D0711795

Laboratory TypePhysician Office

Certificate Effective DateJanuary 17, 2025

Certificate Expiration DateJanuary 16, 2027

Laboratory DirectorJefferson Alling

Laboratory Phone(940) 442-5209

Laboratory LocationWise County Medical & Surgical, Decatur1001 W Eagle Dr, Decatur, TX 76234

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRAVIS ANDREW KYLE PA

Physician Assistant