Elaina Wickman, PA

NPI #1134519226 in Shenandoah, Texas

Provider Information

NPI Number
1134519226
Entity Type
Individual
Name
Elaina Wickman, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jan 28, 2015
Last Updated
Dec 14, 2022

Practice Location

Address
134 VISION PARK BLVD STE 100
State
Texas
ZIP Code
77384-3030
Phone
(936) 242-1437

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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