Alton Jerome Wilks
Podiatrist Foot & Ankle Surgery Primary Podiatric Medicine
212 W Wintergreen Rd Apt 2028
DeSoto
, Texas 75115-2360
Alton Jerome Wilks
Podiatrist Foot & Ankle Surgery Primary Podiatric Medicine
212 W Wintergreen Rd Apt 2028
DeSoto
, Texas 75115-2360
(214) 457-5528
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Alton Jerome Wilks
- 212 W Wintergreen Rd Apt 2028
- Desoto, TX
- Zip : 75115-2360
- Phone : (214) 457-5528
Second Address
- Alton Jerome Wilks
- 212 W Wintergreen Rd Apt 2028
- Desoto, TX
- Zip : 75115-2360
- Phone : (214) 457-5528
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 2164 | TX |
| Y | 222Z00000X | Podiatrist | 2164 | TX |
| N | 213EP1101X | Primary Podiatric Medicine | 2164 | TX |
| N | 213ES0103X | Foot & Ankle Surgery | 2164 | TX |
National Provider Identifier
| NPI | 1083939821 |
|---|---|
| Provider Name | Alton Jerome Wilks |
| First Address | Desoto, TX 75115-2360 |
| Second Address | Desoto, TX 75115-2360 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/04/2010 |
| Last Update Date | 30/03/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.