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Contact Information

IAN G. WILKOFSKY MDPA
1234 FM 407
STE 100
NORTH LAKE, TX76226
 Phone: 972-420-1776
 Fax: 972-221-8685
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for IAN G. WILKOFSKY MDPA

NPI # 1174914139
LBN Legal business name IAN G. WILKOFSKY MDPA
Authorized official IAN WILKOFSKY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2015
Last updated 09/01/2021 - About 5 years ago
Identifiers
TX License # P5905
TX Other 045074 MEDICARE
TX Other 7366270001 MEDICARE NSC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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