Organization
JUMANO EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC WILKE MD (GENERAL PARTNER)
(800) 230-5160
Entity
Organization
Contact information
Practice address
3501 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 949-9511
Mailing address
PO BOX 98719, LAS VEGAS, NV 89193-8718
(800) 355-0808
(610) 834-2862
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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