Active NPI
C.H. Wilkinson Physician Network
Doing business as CHRISTUS Medical Group Santa Rosa Clinic
- Family Medicine Physician
- Santa Rosa, TX
National Provider Identifier
1437170065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- C.H. WILKINSON PHYSICIAN NETWORK
- Doing business as
- CHRISTUS Medical Group Santa Rosa Clinic
- Practice address
- Highway 107 & la Feria Avenue
Santa Rosa, TX 78593 - Phone
- (956) 636-1805
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elsa Marquez
- Title
- Practice Manager
- Phone
- (956) 636-1805
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Obstetrics & Gynecology Physician | 207V00000X |
Addresses
Primary practice location
Highway 107 & la Feria Avenue
Santa Rosa, TX 78593
Mailing address
Highway 107 & la Feria Avenue
Santa Rosa, TX 78593
Phone (956) 636-1805
Other names 1
- CHRISTUS Medical Group Santa Rosa Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199750400000",
"number": "1437170065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HIGHWAY 107 & LA FERIA AVENUE",
"city": "SANTA ROSA",
"state": "TX",
"postal_code": "78593",
"telephone_number": "956-636-1805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HIGHWAY 107 & LA FERIA AVENUE",
"city": "SANTA ROSA",
"state": "TX",
"postal_code": "78593",
"telephone_number": "956-636-1805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C.H. WILKINSON PHYSICIAN NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2008-01-08",
"status": "A",
"authorized_official_last_name": "MARQUEZ",
"authorized_official_first_name": "ELSA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "956-636-1805",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CHRISTUS Medical Group Santa Rosa Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Rosa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.