IndividualActive
Brent Wyatt, MD
NPI 1346283025 · Emergency Medical Services (Emergency Medicine) Physician · Southlake, TX
Provider details
- NPI number
- 1346283025
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
910 S Kimball Ave
Southlake, TX 76092-9005
Phone: (817) 527-3470
Fax: (817) 527-3444
Approximate (ZIP-level) locationGet directions
Mailing address
2619 Se Military Dr Ste 101
San Antonio, TX 78223-4312
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2020-03-05
- Certified
- 2020-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.