MARY C. WILK FNP NPI 1578563573

NPI Information

  • NPI: 1578563573
  • Provider Name: MARY C. WILK, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 5000 HARRY HINES BLVD
    HOMES
    DALLAS, TX
    ZIP 75235
  • Phone: (214) 590-0153

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NPI Details

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
1363LF0000XNurse PractitionerFamily418884TEXASYes

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 Other Provider Identifier Issuer
1138633605MEDICAIDTEXAS
2138633612MEDICAIDTEXAS
3138633610MEDICAIDTEXAS
4138633608MEDICAIDTEXAS
5138633604MEDICAIDTEXAS
6138633607MEDICAIDTEXAS
7138633603MEDICAIDTEXAS
8138633601MEDICAIDTEXAS
986N649MEDICARE PINTEXAS
10S81409MEDICARE UPINTEXAS
11138633611MEDICAIDTEXAS
12138633602MEDICAIDTEXAS
13138633613MEDICAIDTEXAS

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: 11/21/2025

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