Organization
TEXOMA CARDIOVASCULAR SURGEONS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J WILCOTT MD (PARTNER)
(903) 868-4595
Entity
Organization
Contact information
Practice address
600 E TAYLOR ST, SUITE 100, SHERMAN, TX 75090-2881
(903) 868-4595
(903) 868-4597
Mailing address
600 E TAYLOR ST, SUITE 100, SHERMAN, TX 75090-2881
(903) 868-4595
(903) 868-4597
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095EZ
BLUE CROSS BLUE SHIELD
TX
05
—
080222501
—
TX
Enumeration date
06/29/2006
Last updated
03/23/2010
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