Individual
JOHN HARRISON WILBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758
(512) 334-2700
(512) 623-5290
Mailing address
2211 W BRAKER LN, AUSTIN, TX 78758-4031
(512) 334-2686
(512) 623-5290
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
E1179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136184211
—
TX
Enumeration date
01/25/2006
Last updated
04/05/2013
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