Organization
C H WILKINSON PHYSICIAN NETWORK
Active
Other names
CHRISTUS Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KARL (CFO)
(469) 282-3514
Entity
Organization
Contact information
Practice address
919 HIDDEN RDG, 6TH FLOOR, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-4609
Mailing address
919 HIDDEN RDG, 6TH FLOOR, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-4609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018QH
BCBS
TX
01
—
0039PV
BCBS
TX
01
—
0051NE
BCBS
TX
01
—
0061ML
BCBS
TX
01
—
0087BR
BCBS
TX
01
—
0091BR
BCBS
TX
01
—
0093NL
BCBS
TX
05
—
081267905
—
TX
05
—
138967815
—
TX
05
—
138967816
—
TX
05
—
142445901
—
TX
05
—
142445902
—
TX
05
—
190824601
—
TX
Enumeration date
07/05/2006
Last updated
05/28/2020
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