Individual
GEORGE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16620 N US HIGHWAY 281 STE 300, SAN ANTONIO, TX 78232-2679
(210) 309-1405
(210) 688-4596
Mailing address
12446 WEST AVE, STE 200, SAN ANTONIO, TX 78216-2530
(210) 525-1668
(210) 525-1669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J6806
TX
208M00000X
Hospitalist Physician
J6806
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135261910
—
TX
Enumeration date
09/20/2006
Last updated
05/16/2019
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