Individual
KIM WILGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
517 W BOZKA ST, SHINER, TX 77984-5598
(361) 935-6240
Mailing address
517 WEST BOZKA, SHINER, TX 77984-1464
(361) 935-6240
(833) 340-7343
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19500
TX
101YP2500X
Professional Counselor
19500
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011735136
—
TX
01
—
202876529
TAX ID
TX
Enumeration date
08/08/2006
Last updated
06/13/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us