Individual
ROBERT J WILCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 E TAYLOR ST, SUITE 100, SHERMAN, TX 75090-2881
(903) 868-4595
(903) 868-4597
Mailing address
5012 S US HIGHWAY 75 STE 300, ATT. BILLING, DENISON, TX 75020-4589
(903) 868-4595
(903) 868-4597
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G7119
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043815202
—
TX
05
—
100149090A
—
OK
01
—
8GF118
BCBS OF TX
TX
Enumeration date
06/22/2006
Last updated
10/09/2017
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