Individual
MARY MITCHELL WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
624 MAIN, NORMANNA, TX 78142-2001
(361) 937-3782
(361) 881-4313
Mailing address
4237 WESTERN DR, CORPUS CHRISTI, TX 78410-3843
(361) 510-3213
(361) 201-0023
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP134188
TX
Other
Enumeration date
07/10/2017
Last updated
09/01/2021
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