Patricia A Wilcox M.D.

LBN: Sanger Avenue Medical
Patricia A Wilcox M.D. is an health care organization with primary practice located at 6614 Sanger Ave , Waco TX 76710-4253. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sanger Avenue Medical can be contacted via phone (254) 752-2300, or through Horner, Douglas L via phone (254) 752-2300.

Contact Information

Primary practice address
6614 Sanger Ave Waco TX 76710-4253
Phone: (254) 752-2300
Fax: (254) 752-9436
Website:
Map and Directions
Authorized official contact:
Name: Horner, Douglas L PH.D.
Phone: (254) 752-2300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J8840 Texas

Profile Details

NPI number 1679554844
LBN Legal business name Sanger Avenue Medical
DBA Doing business as Patricia A Wilcox M.D.
Authorized official Horner, Douglas L PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2005
Last updated Jun 10th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679554844 NPPES
Texas MEDICAID 121360505

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