GARY D WOLF DO NPI 1619995693

NPI Information

  • NPI: 1619995693
  • Provider Name: GARY D WOLF, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 501 E BROAD ST
    MANSFIELD, TX
    ZIP 76063
  • Phone: (817) 473-6750

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NPI Details

Gary D Wolf, DO is a family medicine in Mansfield, TX. The provider is 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. Gary D Wolf, DO NPI is 1619995693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 E BROAD ST
MANSFIELD, TX
ZIP 76063-709
Phone: (817) 473-6750
Fax: (817) 477-1708

The enumeration date for this NPI number is 7/17/2006 and was last updated on 7/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineE9029TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1120602106MEDICAIDTEXAS
2TXB122584MEDICARE PINTEXAS
3TXB121933MEDICARE PINTEXAS
4C23701MEDICARE UPINTEXAS
58C9786MEDICARE ID-TYPE UNSPECIFIEDTEXAS
6120602105MEDICAIDTEXAS
7120602107MEDICAIDTEXAS
8TXB121937MEDICARE PINTEXAS
9120602108MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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