Organization
METROPLEX VASCULAR SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JEROME WILKERSON MD (OWNER)
(817) 310-0020
Entity
Organization
Contact information
Practice address
1600 W COLLEGE ST, SUITE 555, GRAPEVINE, TX 76051-3580
(817) 310-0020
(817) 796-1445
Mailing address
1600 W COLLEGE ST, SUITE 555, GRAPEVINE, TX 76051-3580
(817) 310-0020
(817) 796-1445
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
K9455
TX
Other
Enumeration date
06/29/2010
Last updated
06/01/2011
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