Individual
DARRELL WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E MLK JR INDUSTRIAL BLVD, LOCKHART, TX 78644-3700
(512) 398-3480
(512) 268-1873
Mailing address
1400 E MLK JR INDUSTRIAL BLVD, P.O. BOX 1170, LOCKHART, TX 78644-3700
(512) 398-3480
(512) 268-1873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H6754
TX
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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