Individual
EMILYANN WILKINSON FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4401 BOOTH CALLOWAY RD, NORTH RICHLAND HILLS, TX 76180
(817) 255-1000
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R1526
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1U2435
MEDICARE
TX
05
—
378210405
—
TX
01
—
8QB978
BCBS
TX
Enumeration date
03/26/2014
Last updated
11/10/2021
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