MARY C. WILK FNP NPI 1578563573

NPI Information

NPI: 1578563573
Provider Name: MARY C. WILK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
5000 HARRY HINES BLVD
HOMES
DALLAS, TX
ZIP 75235
Phone: (214) 590-0153
Get Directions

Mary C. Wilk, FNP is a family nurse practitioner in Dallas, TX. Mary C. Wilk, FNP NPI is 1578563573. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5000 HARRY HINES BLVD
HOMES
DALLAS, TX
ZIP 75235-721
Phone: (214) 590-0153
Fax: (214) 590-0172

The enumeration date for this NPI number is 8/1/2005 and was last updated on 9/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	418884	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	138633605	MEDICAID	TEXAS
2	138633612	MEDICAID	TEXAS
3	138633610	MEDICAID	TEXAS
4	138633608	MEDICAID	TEXAS
5	138633604	MEDICAID	TEXAS
6	138633607	MEDICAID	TEXAS
7	138633603	MEDICAID	TEXAS
8	138633601	MEDICAID	TEXAS
9	86N649	MEDICARE PIN	TEXAS
10	S81409	MEDICARE UPIN	TEXAS
11	138633611	MEDICAID	TEXAS
12	138633602	MEDICAID	TEXAS
13	138633613	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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