Individual
CALVIN WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
842 VZCR 3726, WILLS POINT, TX 75169-7516
(903) 802-9358
Mailing address
842 VZCR 3726, WILLS POINT, TX 75169
(903) 802-9358
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2154290
TX
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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