Organization
ROBERT D. WILCOX, MD, PA
Active
Other names
Plano Center for Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA BOUDREAUX (FACILITY CONSULTANT)
(469) 422-0641
Entity
Organization
Contact information
Practice address
5316 W PLANO PKWY, PLANO, TX 75093-4821
(972) 620-1700
(972) 248-2333
Mailing address
5316 W PLANO PKWY, PLANO, TX 75093-4821
(972) 620-1700
(972) 248-2333
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
007155
TX
261QM1300X
Multi-Specialty Clinic/Center
Primary
007155
TX
Other
Enumeration date
05/08/2017
Last updated
05/24/2017
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