Ian G Wilkofsky Mdpa

NPI 1144611187 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1144611187
Enumeration Date 02/12/2015
Last Updated 02/12/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name IAN G IAN
Position OWNER
Phone (972) 420-1776
Fax (214) 222-6671
Practice Location
5000 LONG PRAIRIE RD
SUITE 100
FLOWER MOUND TX, 75028-2783, US
Phone (972) 420-1776
Fax (214) 222-6671
Business Location
5000 LONG PRAIRIE RD
SUITE 100
FLOWER MOUND TX, 75028-2783, US
Phone (972) 420-1776
Fax (214) 222-6671
Toxanomy
Taxonomy Code 207X00000X
License State Texas
License Number P5905
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According to our database, Ian G Wilkofsky Mdpa NPI is 1144611187, taxonomy code is 207X00000X and license number is P5905, license state is located at Texas. Ian G Wilkofsky Mdpa physically located at 5000 Long Prairie Rd, Flower Mound TX, 75028-2783. NPI Number 1033115704 has the healthcare provider type.

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1144611187 NPI number is provided on an as is basis without warranty of any kind. 1144611187 is maintained by the National Plan & Provider Enumeration System. The contents of Ian G Wilkofsky Mdpa are for informational purposes only.