C H WILKINSON PHYSICIAN NETWORK (NPI# 1821282583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821282583 |
| Entity Type | Organization |
| Organization Name | C H WILKINSON PHYSICIAN NETWORK |
| Other Organization Name | CHRISTUS CONVENIENT CLINIC |
| Practice Address |
1600 Wildcat Drive Portland TX 78374 |
| Practice Telephone | 3616432273 |
| Practice Fax Number | 3616432272 |
| Mailing Telephone | 3616432273 |
| Mailing Fax Number | 3616432272 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |
| Authorized Official Name | DONNA J MIKULECKY (CEO/PRESIDENT) |
| Authorized Official Telephone | 7132772700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| CHRISTUS Convenient Clinic | Doing Business As Name - 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 |
| 1497947451 | C H Wilkinson Physician Network | Radiology | 1415 Santa Fe, Corpus Christi, TX 78404 | 2007-08-14 |
| Street Address |
1600 WILDCAT DRIVE |
| City | PORTLAND |
| State | TX |
| Zip Code | 78374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407350 | Emad Banoub | Pharmacist | 1105 Hyw 181, Portland, TX 78374 | 2020-05-05 |
| 1184256893 | Rebecca Lovins | Behavior Technician | 304, Frio Dr, Portland, TX 78374 | 2020-02-11 |
| 1760962997 | Kimberly Beal | Licensed Vocational Nurse | 201 Sabine St, Portland, TX 78374 | 2018-08-16 |
| 1134577836 | Christopher Tipton | Specialist/Technologist | 4800 Wildcat Dr., Portland, TX 78374 | 2016-06-03 |
| 1134592629 | Coastal Bend Physicians Pllc | Clinic/Center | 1860 Us Highway 181, Suite C, Portland, TX 78374 | 2015-11-05 |
| 1093191397 | Coastal Er IIi, LLC | Clinic/Center | 1860 Highway 181 Frontage Road, Ste C, Portland, TX 78374 | 2015-08-10 |
| 1376942466 | Allen Portland Dentistry Associates Pllc | Dentist | 101 Cox Dr., Portland, TX 78374 | 2014-08-14 |
| 1699188284 | Leola Brumley | Speech-Language Pathologist | 2002 Matagorda Dr., Portland, TX 78374 | 2014-06-11 |
| 1780937607 | Erika Kristine De La Garza | Nurse Practitioner | 1702 Hwy. 181 North, Portland, TX 78374 | 2012-10-16 |
| 1538355219 | Andrew Marcus Rosendahl | Physician Assistant | 1912 Falcon Drive, Portland, TX 78374 | 2007-09-17 |
| Find all providers in zip 78374 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| 1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
| 1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
| 1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
| 1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
| Find all providers in PORTLAND | ||||
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| 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.