C H Wilkinson Physician Network
Family Medicine in Irving, TX. Organization (NPI-2).
NPI number1457382947
StatusActive
Last updated in NPPESMay 28, 2020
Details
- NPI
- 1457382947
- Entity type
- Organization (NPI-2)
- Legal business name
- C H Wilkinson Physician Network
- Organization subpart
- No
- Enumeration date
- Jul 5, 2006
- Certification date
- May 28, 2020
- Last updated
- May 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 208000000X | Pediatrics | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | |
| 2085R0001X | – | – | ||
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Christus Physician Group (Doing Business As)
Practice location
919 Hidden Rdg6th Floor
Irving, TX 75038-3813
Phone 469-282-2711 · Fax 469-282-4609
Mailing address
919 Hidden Rdg6th Floor
Irving, TX 75038-3813
Phone 469-282-2711 · Fax 469-282-4609
Authorized official
Robert Karl
Cfo
4692823514
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