Organization
INTERNAL MEDICINE ASSOCIATES OF PALESTINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD MICHAEL WILKINSON MD (PRESIDENT)
(903) 729-3993
Entity
Organization
Contact information
Practice address
2217 S SYCAMORE ST, PALESTINE, TX 75801-4786
(903) 729-3993
Mailing address
2217 S SYCAMORE ST, PALESTINE, TX 75801-4786
(903) 729-3993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083263601
—
TX
01
—
CS0269
RAILROAD MEDICARE
TX
Enumeration date
01/12/2007
Last updated
11/15/2007
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