Look up the most recent NPI and PECOS records

Kurtt R Wix

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as KURTT WIX.

Based on the most recent information from CMS, provider Kurtt R Wix is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1154607604
Provider Type
Individual
Full Name
Wix, Kurtt R
Title
Dr.
Credential
DO

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/28/2011
Last Updated
10/11/2013

Contact Information

Practice Location

800 8th Ave, Fort Worth, TX 76104-2601

(817) 336-2100

Unlisted Fax

Mailing Location

800 8th Ave, Fort Worth, TX 76104-2601

(817) 336-2100

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License P6552 Texas
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License BP10036690 Texas

Kurtt R Wix

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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