C H WILKINSON PHYSICIAN NETWORK (NPI# 1225130578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225130578 |
Entity Type | Organization |
Organization Name | C H WILKINSON PHYSICIAN NETWORK |
Other Organization Name | CHRISTUS MEDICAL GROUP |
Practice Address |
Highway 107 and La Feria Ave Santa Rosa TX 78593 |
Mailing Address |
2600 North Loop W Houston TX 77092-8903 |
Practice Telephone | 9566361805 |
Mailing Telephone | 7136818877 |
Mailing Fax Number | 7138122063 |
Enumeration Date | 2006-09-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. DONNA MIKULECKY (CFO) |
Authorized Official Telephone | 7136818877 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
K7201 | TX | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Christus Medical Group | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245473842 | C H Wilkinson Physician Network | Pediatrics | 6441 Highstar, Houston, TX 77074 | 2009-04-13 |
1992946115 | C H Wilkinson Physician Network | Family Medicine | 3717 Hwy 3, Ste A1, Dickinson, TX 77539-8024 | 2009-03-18 |
1326292145 | C H Wilkinson Physician Network | Nurse Practitioner | 1381 S Main Street, Boerne, TX 78006-2846 | 2008-11-06 |
1154574093 | C H Wilkinson Physician Network | Nurse Practitioner | 1710 Broadway Street, Pearland, TX 77581-5604 | 2008-10-23 |
1609029545 | C H Wilkinson Physician Network | Nurse Practitioner | 5660 Grand Parkway West, Richmond, TX 77469 | 2008-10-23 |
1649422841 | C H Wilkinson Physician Network | Nurse Practitioner | 3636 Monroe Highway, Pineville, LA 71360 | 2008-10-21 |
1558513754 | C H Wilkinson Physician Network | Nurse Practitioner | 525 North City Service Hwy, Sulphur, LA 70663 | 2008-10-21 |
1659528347 | C H Wilkinson Physician Network | Nurse Practitioner | 1701 Fm 646 East, League City, TX 77573-4968 | 2008-08-25 |
1194972885 | C H Wilkinson Physician Network | Nurse Practitioner | 150 West El Dorado Blvd, Friendswood, TX 77546-6500 | 2008-08-25 |
1821282583 | C H Wilkinson Physician Network | Nurse Practitioner | 1600 Wildcat Drive, Portland, TX 78374 | 2007-09-05 |
Street Address |
HIGHWAY 107 AND LA FERIA AVE |
City | SANTA ROSA |
State | TX |
Zip Code | 78593 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689975153 | Lydia Dominguez | Nurse Practitioner | Highway 107 & La Feria Ave., Santa Rosa, TX 78593 | 2010-11-15 |
1831376474 | Healing Hands With Advanced Care Services Incorporated | Home Health | 113 Jesus Cruz, Santa Rosa, TX 78593 | 2008-01-25 |
1487846275 | Halo Health Services Inc. | Home Health | 109 Santa Rosa Blvd., Santa Rosa, TX 78593 | 2007-08-15 |
1003938622 | Santa Rosa Isd | Local Education Agency (LEA) | Hwy 107 & E. Cruz St., Santa Rosa, TX 78593 | 2007-04-04 |
1316075518 | El#1adultdaycare | Clinic/Center | 11861 West Hwy 107, Santa Rosa, TX 78593 | 2007-03-01 |
1437170065 | C.h. Wilkinson Physician Network | Obstetrics & Gynecology | Highway 107 & La Feria Avenue, Santa Rosa, TX 78593 | 2006-07-21 |
1811217003 | Dora Alicia Martinez | Family Medicine | 122 Fm 506, Santa Rosa, TX 78593-0226 | 2010-06-10 |
1386960862 | Su Clinica Familiar | Clinic/Center | Hwy 107 and La Feria Avenue, Santa Rosa, TX 78593-0226 | 2010-04-09 |
1093293243 | Juanita Zepeda | Licensed Vocational Nurse | 21204 Hooks and Hodges Rd, Santa Rosa, TX 78593-2018 | 2018-07-31 |
1174861678 | Valley Labs | Clinical Medical Laboratory | 20476 Thompson Rd, Santa Rosa, TX 78593-2084 | 2013-01-18 |
Find all providers in zip 78593 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639776586 | West Texas Family Medicine, Pllc | Clinic/Center | 315 W Cleveland St, Hale Center, TX 79041 | 2020-10-05 |
1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
Find all providers with the same taxonomy |
City | SANTA ROSA |
Zip Code | 78593 |
Please comment or provide details below to improve the information on C H WILKINSON PHYSICIAN NETWORK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.