Individual
REX EDWARD WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
12709 TOEPPERWEIN RD, STE 101, LIVE OAK, TX 78233-3259
(210) 477-5151
(210) 477-5152
Mailing address
12709 TOEPPERWEIN RD, STE 101, LIVE OAK, TX 78233-3259
(210) 477-5151
(210) 477-5152
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G3910
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
3910
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G3910
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114067505
—
TX
Enumeration date
08/25/2006
Last updated
01/13/2017
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