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
3636 MONROE HIGHWAY, PINEVILLE, LA 71360
(318) 641-3137
Mailing address
1700 WEST LOOP SOUTH, 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
05/18/2010
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