Organization
C H WILKINSON PHYSICIAN NETWORK
Active
Other names
CHRISTUS MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J MIKULECKY (CEO PRESIDENT)
(713) 277-2208
Entity
Organization
Contact information
Practice address
1710 BROADWAY STREET, PEARLAND, TX 77581-5604
(713) 277-2222
(713) 613-0934
Mailing address
1700 WEST LOOP SOUTH, SUITE 400B, HOUSTON, TX 77027-3005
(713) 277-2222
(713) 613-0934
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/23/2008
Last updated
10/30/2008
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