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Individual

EDUARDO M WILKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1291 W CAMPBELL RD, RICHARDSON, TX 75080-2946
(972) 301-4300
Mailing address
1291 W CAMPBELL RD, RICHARDSON, TX 75080-2946
(469) 600-2727

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J3937
TX
207R00000X
Internal Medicine Physician
Primary
J3937
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138724309
TX
01
752615263
TAX IDENTIFICATION NUMBER
Enumeration date
08/29/2006
Last updated
11/19/2015
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