Individual
DR. CELESTE ANN WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
3550 NE LOOP 286, PARIS, TX 75460-5004
(903) 785-0031
(903) 784-6755
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
K0571
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156005401
—
TX
05
—
156005402
—
TX
05
—
156005403
—
TX
05
—
200032050A
—
OK
01
—
8R1589
BLUE CROSS OF TEXAS
TX
Enumeration date
06/15/2006
Last updated
03/07/2016
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