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Individual
MRS. SARA SUSAN WILCOX
Active
Individual
MRS. SARA SUSAN WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
249480
TX
363LF0000X
Family Nurse Practitioner
249480
TX
363LF0000X
Family Nurse Practitioner
Primary
AP118441
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346560273
—
TX
01
—
249480
363L00000X
TX
Enumeration date
06/02/2010
Last updated
03/15/2023
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