Individual
PAUL SAMUEL WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DM.D., M.D.
Contact information
Practice address
5051 S SONCY RD, AMARILLO, TX 79119-6667
(806) 353-1055
(806) 353-7077
Mailing address
5051 S SONCY RD, AMARILLO, TX 79119-6667
(806) 353-1055
(806) 353-7077
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0021838
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21838
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200415100A
—
OK
05
—
211956202
—
TX
Enumeration date
07/19/2007
Last updated
02/18/2016
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