Bryan Wakefield is a student in an organized health care education training program in Lubbock, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Bryan Wakefield NPI is 1710419940. 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:
6104 15TH ST
LUBBOCK, TX
ZIP 79416-112
Phone: (469) 438-1808
The NPI 1710419940 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/28/2017 and was last updated on 3/28/2017.