Organization
MINOR EMERGENCY & DIAGNOSTIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO MARIO WILKINSON MD (PARTNER)
(972) 498-4503
Entity
Organization
Contact information
Practice address
1920 N COLLINS BLVD, RICHARDSON, TX 75080-3525
(972) 498-4503
Mailing address
1920 N COLLINS BLVD, RICHARDSON, TX 75080-3525
(972) 498-4503
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
H3144
TX
305R00000X
Preferred Provider Organization
J3937
TX
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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