Organization
WILSON CREEK INTERNAL MEDICINE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE GWYN JUDD (MANAGER)
(972) 822-5973
Entity
Organization
Contact information
Practice address
4201 MEDICAL CENTER DR STE 300, MCKINNEY, TX 75069-1777
(469) 975-8480
(972) 704-2936
Mailing address
4201 MEDICAL CENTER DR STE 280, MCKINNEY, TX 75069-1767
(972) 562-1018
(972) 562-1026
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K9943
TN
Other
Enumeration date
06/20/2016
Last updated
01/19/2024
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