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C H WILKINSON PHYSICIAN NETWORK NPI 1821282583


NPI Information

NPI: 1821282583
Provider Name: C H WILKINSON PHYSICIAN NETWORK

Doing Business As: CHRISTUS CONVENIENT CLINIC

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D2035019

Address:
1600 WILDCAT DRIVE
PORTLAND, TX
ZIP 78374
Phone: (361) 643-2273
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C H WILKINSON PHYSICIAN NETWORK is a family nurse practitioner in Portland, TX. C H WILKINSON PHYSICIAN NETWORK NPI is 1821282583. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Christus Convenient Clinic.

The provider's business location address is:

1600 WILDCAT DRIVE
PORTLAND, TX
ZIP 78374
Phone: (361) 643-2273
Fax: (361) 643-2272

The provider's authorized official is Donna J Mikulecky .
The authorized official title is Ceo/president and has the following contact phone number (713) 277-2700.

The CLIA number assigned to this NPI record is 45D2035019 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 9/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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