Individual
ELAINA WICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
134 VISION PARK BLVD STE 100, SHENANDOAH, TX 77384-3030
(936) 242-1437
Mailing address
17450 ST LUKES WAY STE 390, THE WOODLANDS, TX 77384-2001
(936) 242-1437
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
Other
Enumeration date
01/28/2015
Last updated
12/14/2022
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