Individual
ANTHONY GLEN WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5415 S MCCOLL RD, EDINBURG, TX 78539-9183
(956) 661-0529
Mailing address
5501 S MCCOLL RD, EDINBURG, TX 78539-5503
(956) 605-7800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
118426
TX
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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