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Dr. John Richardson Wilcox JR., MD
Diagnostic Radiology Physician in Longview, Texas
NPI 1114920444

John Richardson Wilcox JR. is a Diagnostic Radiology Physician based in Longview, TX and is specialized in Diagnostic Radiology. John Richardson Wilcox JR. practices in Longview, TX and has the professional credentials of MD. The NPI Number for John Richardson Wilcox JR. is 1114920444 and holds a License No. F0824 (Texas).

The current practice location address for John Richardson Wilcox JR. is 4777 Us Highway 259, Longview, TX and can be reached out via phone at 903-663-4800 and via fax at 903-663-0378. You can also correspond with John Richardson Wilcox JR. through the mailing address at PO BOX 5316, LONGVIEW, TX - 75608-5316 (mailing address contact number: 903-663-4800).

Location: 4777 Us Highway 259, Longview, TX, 75608-5316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114920444
Provider Name
John Richardson Wilcox JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4777 Us Highway 259, Longview, TX, 75608-5316
Phone Number
903-663-4800
Fax Number
903-663-0378
Provider Enumeration Date
05/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8DB361 01 TX BCBS TX
134263610 05 TX
134263613 05 TX
P00995222 01 TX RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
4777 Us Highway 259
City
Longview
State
Texas
Zip
75605-7668
Phone Number
903-663-4800
Fax Number
903-663-0378
person
Provider Business Mailing Address Details
Address
Po Box 5316
City
Longview
State
Texas
Zip
75608-5316
Phone Number
903-663-4800
Fax Number
903-663-0378
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
F0824 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
F0824 (Texas)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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