Organization
C H WILKINSON PHYSICIAN NETWORK
Active
Other names
CHRISTUS Convenient Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J MIKULECKY (CEO/PRESIDENT)
(713) 277-2700
Entity
Organization
Contact information
Practice address
1600 WILDCAT DRIVE, PORTLAND, TX 78374
(361) 643-2273
(361) 643-2272
Mailing address
1600 WILDCAT DRIVE, PORTLAND, TX 78374
(361) 643-2273
(361) 643-2272
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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