Individual
WILDA D ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5044 LAKE VISTA DR, THE COLONY, TX 75056-4015
(469) 556-9933
(972) 625-6881
Mailing address
5044 LAKE VISTA DR, THE COLONY, TX 75056-4015
(469) 556-9933
(972) 625-6881
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/14/2010
Last updated
01/20/2024
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