Individual
DR. RICHARD PAUL WIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1741 EAST BARDIN ROAD, SUITE 291, JPS OUT-PATIENT CLINIC, ARLINGTON, TX 76018-4825
(817) 702-8700
(817) 702-4243
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 852-8780
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L4807
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206141802
—
TX
Enumeration date
05/15/2009
Last updated
09/02/2016
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