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Wilco Theranet, Llc
Specialist in Huntsville, Texas
NPI 1679667695

Wilco Theranet, Llc is a Specialist based in Huntsville, TX. Wilco Theranet, Llc practices in Huntsville, TX. The NPI Number for Wilco Theranet, Llc is 1679667695 and holds a License No. 640210000 (Texas).

The current practice location address for Wilco Theranet, Llc is 127 Medical Park Ln, Huntsville, TX and can be reached out via phone at 936-294-0283 and via fax at 936-294-9878.

Location: 127 Medical Park Ln, Huntsville, TX, 77340-4972
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679667695
Provider Name
Wilco Theranet, Llc
Credential
Provider Entity Type
Organization
Address
127 Medical Park Ln, Huntsville, TX, 77340-4972
Phone Number
936-294-0283
Fax Number
936-294-9878
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85643T 01 TX BCBS PROVIDER NUMBER
152359901 05 TX
institution
Provider Business Practice Location Address Details
Address
127 Medical Park Ln
City
Huntsville
State
Texas
Zip
77340-4972
Phone Number
936-294-0283
Fax Number
936-294-9878
person
Provider Business Mailing Address Details
Address
127 Medical Park Ln
City
Huntsville
State
Texas
Zip
77340-4972
Phone Number
936-294-0283
Fax Number
936-294-9878
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
640210000 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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