Individual
DR. EDWARD GEORGE WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR., JBSA FORT SAM HOUSTON, TX 78234
(210) 916-5792
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 323-9267
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
31784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831162569
—
TX
Enumeration date
02/13/2006
Last updated
09/01/2023
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