Organization Active NPI

C H Wilkinson Physician Network

Doing business as Christus Medical Group

  • Family Nurse Practitioner
  • Friendswood, TX
National Provider Identifier
1194972885
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
C H WILKINSON PHYSICIAN NETWORK
Doing business as
Christus Medical Group
Practice address
150 West El Dorado Blvd
Friendswood, TX 77546-6500
Phone
(281) 280-8062
NPI assigned
Aug 25, 2008
Last updated
Aug 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronald Retkowski
Title
VP Retail Operations
Phone
(713) 371-8545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

150 West El Dorado Blvd
Friendswood, TX 77546-6500

Mailing address

1700 West Loop South
Suite 400B
Houston, TX 77027-3005
Phone (713) 277-2222

Other names 1

  • CHRISTUS MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CH Wilkinson Physician32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

150 W El Dorado Blvd
Friendswood, TX 77546
Phone (281) 218-9100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1194972885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WEST LOOP SOUTH",
            "address_2": "SUITE 400B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273005",
            "telephone_number": "713-277-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WEST EL DORADO BLVD",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775466500",
            "telephone_number": "281-280-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C H WILKINSON PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "RETKOWSKI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "VP RETAIL OPERATIONS",
        "authorized_official_telephone_number": "713-371-8545"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.