NPI 1760618706

Minor Emergency & Diagnostic Care

Organisation Preferred Provider Organization Richardson, TX

Practice location

Address: 1920 N Collins Blvd, Richardson, TX 75080-3525
Phone: (972) 498-4503

Authorised official

Name: Eduardo Mario Wilkinson
Title: Partner
Phone: (972) 498-4503

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence H3144 (TX)

Other Preferred Provider Organization providers in Texas →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence J3937 (TX)

Registry record

NPI: 1760618706
Entity type: Organization
NPI issued: 4 Jun 2009
Record last updated: 4 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.