Provider Demographics
NPI:1144732165
Name:WICHITA FALLS PHYSICIAN BILLING SERVICES, LLC
Entity type:Organization
Organization Name:WICHITA FALLS PHYSICIAN BILLING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CONFAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-264-3766
Mailing Address - Street 1:4121 SOUTHWEST PKWY
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-4301
Mailing Address - Country:US
Mailing Address - Phone:940-264-3766
Mailing Address - Fax:
Practice Address - Street 1:4121 SOUTHWEST PKWY
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-4301
Practice Address - Country:US
Practice Address - Phone:940-264-3766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-31
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty