| Patrick B. Wilcox D.d.s, Pediatric Dentistry | |
|
2501 Cornerstone Blvd Edinburg TX 78539-8463 | |
| (956) 686-8611 | |
| (956) 686-2668 |
| Full Name | Patrick B. Wilcox D.d.s, Pediatric Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2501 Cornerstone Blvd, Edinburg, Texas |
| Authorized Official Name and Position | Patrick B Wilcox (D.D.S) |
| Authorized Official Contact | 9566868611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick B. Wilcox D.d.s, Pediatric Dentistry 2501 Cornerstone Blvd Edinburg TX 78539-8463 Ph: (956) 686-8611 | Patrick B. Wilcox D.d.s, Pediatric Dentistry 2501 Cornerstone Blvd Edinburg TX 78539-8463 Ph: (956) 686-8611 |
| NPI Number | 1225360191 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 02/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225360191 | NPI | - | NPPES |
| 120793801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15114 (Texas) | Primary |
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