Individual
BEVERLY A WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1301 3RD ST STE 200, WICHITA FALLS, TX 76301-2245
(214) 372-8164
(214) 372-8149
Mailing address
200 MLK JR BLVD, WICHITA FALLS, TX 76301-1152
(940) 766-6306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
001953
GA
207Q00000X
Family Medicine Physician
0102202303
VA
207Q00000X
Family Medicine Physician
Primary
Q7102
TX
Other
Enumeration date
08/22/2007
Last updated
06/17/2019
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