# 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:** 1609029545
- **Authorized official:** DONNA J MIKULECKY (CEO PRESIDENT)
- **Authorized official phone:** (713) 277-2208

## Contact information

- **Practice address:** 5660 GRAND PARKWAY WEST, RICHMOND, TX 77469
- **Practice address phone:** (281) 342-1624
- **Practice address fax:** (281) 344-9913
- **Mailing address:** 1700 WEST LOOP SOUTH, SUITE 400B, HOUSTON, TX 77027-3005
- **Mailing address phone:** (713) 277-2222
- **Mailing address fax:** (713) 613-0934

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2008
- **Last updated:** 10/30/2008