| Patricia A Wilcox M.d. | |
|
6614 Sanger Ave Waco TX 76710-4253 | |
| (254) 752-2300 | |
| (254) 752-9436 |
| Full Name | Patricia A Wilcox M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 6614 Sanger Ave, Waco, Texas |
| Authorized Official Name and Position | Douglas L Horner (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 2547522300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia A Wilcox M.d. 6614 Sanger Ave Waco TX 76710-4253 Ph: (254) 752-2300 | Patricia A Wilcox M.d. 6614 Sanger Ave Waco TX 76710-4253 Ph: (254) 752-2300 |
| NPI Number | 1679554844 |
|---|---|
| Provider Enumeration Date | 11/07/2005 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679554844 | NPI | - | NPPES |
| 121360505 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J8840 (Texas) | Primary |
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