# C H WILKINSON PHYSICIAN NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHRISTUS MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326292145
- **Authorized official:** DONNA J MIKULECKY (CEO PRESIDENT)
- **Authorized official phone:** (713) 277-2208

## Contact information

- **Practice address:** 1381 S MAIN STREET, BOERNE, TX 78006-2846
- **Practice address phone:** (830) 249-9424
- **Practice address fax:** (830) 249-9426
- **Mailing address:** 1700 WEST LOOP SOUTH, SUITE 400B, HOUSTON, TX 77027-3005
- **Mailing address phone:** (713) 277-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2008
- **Last updated:** 02/24/2009
