Individual
DR. SHARON T WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2130 N.E.LOOP 410, SUITE #100, SAN ANTONIO, TX 78217-4660
(210) 637-0641
(210) 656-3687
Mailing address
PO BOX 91130, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
K5027
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042234701
—
TX
05
—
042234703
—
TX
01
—
2047139
AETNA HMO
TX
01
—
5589618
AETNA PPO
TX
01
—
83791J
BLUECROSS/BLUESHIELD TX.
TX
01
—
P01547638
RAILROAD MEDICARE
TX
Enumeration date
07/31/2006
Last updated
01/29/2016
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