Individual
CHRISTIN NICOLE WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
508 S ADAMS ST STE 100, FORT WORTH, TX 76104-2151
(817) 332-5099
(817) 332-9093
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351711201
—
TX
Enumeration date
08/19/2015
Last updated
12/14/2016
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