Organization
C H WILKINSON PHYSICIAN NETWORK
Active
Other names
CHRISTUS MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J MIKULECKY (CEO PRESIDENT)
(713) 277-2208
Entity
Organization
Contact information
Practice address
525 NORTH CITY SERVICE HWY, SULPHUR, LA 70663
(713) 277-2222
Mailing address
1700 WEST LOOP SOUTH, SUITE 400B, HOUSTON, TX 77027
(713) 277-2222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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