OLUSEGUN WILDE

AMARILLO, TX
NPI1467416727
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: TX  M3792)
Additional Taxonomies207Q00000X Family Medicine
(Licence: NM  20050127)
Enumeration Date2006-04-13
Last Update Date2013-11-01
Business Address
-- OLUSEGUN WILDE MD
1600 WALLACE BLVD
AMARILLO, TX 79106-1799
Phone number: 505-894-2111
Mailing Address
-- OLUSEGUN WILDE MD
PO BOX 840186
DALLAS, TX 75284-0186
Phone number: 866-916-5259