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Individual

DR. BARRY NEAL WILCOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3410 WORTH ST, DALLAS, TX 75246-2003
(214) 370-1400
(214) 370-1405
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
J4613
TX
2085R0001X
Radiation Oncology Physician
Primary
J4613
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128917501
TX
05
128917502
TX
05
128917503
TX
05
128917504
TX
05
128917505
TX
05
128917506
TX
01
8R1588
BLUE CROSS OF TEXAS
TX
Enumeration date
06/15/2006
Last updated
06/24/2015
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