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Organization
ROBERT D. WILCOX MD PA
Active
Organization
ROBERT D. WILCOX MD PA
Active
Other names
Plastic and Cosmetic Surgery Center of Texas
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA K. TIBBLES (BILLING)
(972) 620-1700
Entity
Organization
Contact information
Practice address
5316 WEST PLANO PARKWAY, PLANO, TX 75093-4821
(972) 620-1700
(972) 248-2333
Mailing address
5316 WEST PLANO PARKWAY, PLANO, TX 75093-4821
(972) 620-1700
(972) 248-2333
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007155
TX
261QM1300X
Multi-Specialty Clinic/Center
007155
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007155
WORKERS COMPENSATION
TX
01
—
HH1531
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/28/2006
Last updated
11/05/2013
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