Individual
DALERIE A. WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
303 E OVERTON RD, BLUITT-FLOWERS HEALTH CENTER, DALLAS, TX 75216-5946
(214) 266-4200
(214) 266-4218
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1527
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143872302
—
TX
05
—
143872304
—
TX
05
—
143872305
—
TX
05
—
143872306
—
TX
05
—
143872307
—
TX
05
—
143872308
—
TX
05
—
143872309
—
TX
05
—
143872310
—
TX
05
—
143872311
—
TX
05
—
143872312
—
TX
05
—
143872313
—
TX
05
—
143872314
—
TX
01
—
8W8850
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/28/2005
Last updated
12/04/2012
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