OrganizationActive
Wise County Medical & Surgical Association
NPI 1497770390 · Family Medicine Physician · Bridgeport, TX
Provider details
- NPI number
- 1497770390
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kala Walsh, Administrator(940) 627-7829
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Body Imaging Physician2085B0100X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1306 13th St
Bridgeport, TX 76426-2454
Phone: (940) 627-7443
Fax: (940) 627-7597
Street-level locationGet directions
Mailing address
1306 13th St
Bridgeport, TX 76426-2454
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2010-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.