Wilk, Mary C.

Wilk, Mary C. is an individual health care provider with primary practice located at 5000 Harry Hines Blvd Homes, Dallas TX 75235-7721. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilk, Mary C. can be contacted via phone (214) 590-0153.

Contact Information

Primary practice address
5000 Harry Hines Blvd Homes Dallas TX 75235-7721
Phone: (214) 590-0153
Fax: (214) 590-0172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 418884 Texas

Profile Details

NPI number 1578563573
LBN Legal business name Wilk, Mary C.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Sep 3rd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578563573 NPPES
Texas MEDICAID 138633602
Texas MEDICAID 138633611
Texas MEDICAID 138633607
Texas MEDICAID 138633601
Texas MEDICAID 138633608
Texas MEDICAID 138633610
Texas MEDICAID 138633612
Texas MEDICAID 138633605
Texas MEDICAID 138633603
Texas MEDICAID 138633604
Texas MEDICAID 138633613

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