Organization
WIKOFF UROLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD LEE WIKOFF M.D. (PRESIDENT)
(903) 784-4044
Entity
Organization
Contact information
Practice address
2915 N MAIN ST, PARIS, TX 75460-9360
(903) 784-4044
(903) 784-4201
Mailing address
2915 N MAIN ST, PARIS, TX 75460-9360
(903) 784-4044
(903) 784-4201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H6983
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012HZ
BCBS
TX
01
—
007847195
AETNA
TX
05
—
153197201
—
TX
01
—
200003550A
OKLAHOMA MEDICAID
OK
01
—
DA2698
RAILROAD MEDICARE
TX
Enumeration date
01/11/2007
Last updated
05/01/2008
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