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Individual

MR. JAMES CARSON WILCOX II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3800 S W S YOUNG DR STE 201, KILLEEN, TX 76542-3340
(254) 245-9175
(254) 213-7771
Mailing address
4112 GLIDING GULLS AVE, NORTH LAS VEGAS, NV 89084-2685
(702) 487-5987

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP116710
TX
367500000X
Certified Registered Nurse Anesthetist
PENDING
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
75876
NATIONAL BOARD OF CERTIFICATION & RECERTIFICATION FOR NURSE ANESTHETISTS
TX
Enumeration date
02/08/2007
Last updated
01/20/2025
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