MR. KEITH CORNELL WILCOX JR. (NPI# 1790963239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790963239 |
| Entity Type | Individual |
| Full Name | MR. KEITH CORNELL WILCOX JR. |
| Practice Address |
2809 Townes Ln Austin TX 78703-1644 |
| Practice Telephone | 5129408285 |
| Mailing Telephone | 5129408285 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 38986 | TX | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275654618 | Keith Wilcox | Dentist | 713 S 42nd St, Mt Vernon, IL 62864 | 2007-04-03 |
| Street Address |
2809 TOWNES LN |
| City | AUSTIN |
| State | TX |
| Zip Code | 78703-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158261 | Kelly Witte | Nurse Practitioner | 501 Hearn Street, Austin, TX 78703 | 2020-09-09 |
| 1053779207 | Bodhi Leaf, Pllc | Social Worker | 1300 West Lynn Drive, Suite 207, Austin, TX 78703 | 2016-02-03 |
| 1073904447 | Danielle Frommer | Behavioral Analyst | 311 Bowie St Apt 1903, Austin, TX 78703 | 2015-02-06 |
| 1437391711 | Brett Douglas Macadam | Radiology | 3112 Windsor Rd #517, Radiology Specialists of Central Texas, Austin, TX 78703 | 2009-04-01 |
| 1184878191 | Albright Medical Associates | Family Medicine | 800 W. 5th St, #201, Austin, TX 78703 | 2008-11-05 |
| 1063616662 | Anna C Bell | Pediatrics | 1912 N. 35th St., Austin, TX 78703 | 2007-06-14 |
| 1447472808 | Austin Wellness Institute | General Practice | 1501 W 5th Street, Suite 109, Austin, TX 78703 | 2007-05-03 |
| 1487871968 | Joni K Wallace | Dentist | 2414 Exposition Blvd, Suite B-105, Austin, TX 78703 | 2007-04-19 |
| 1073631339 | Tays General Dentistry Pa | Dentist | 3404 Kerbey Lane, Austin, TX 78703 | 2007-03-26 |
| 1083758270 | Amy Carlisle Goodwin | Counselor | 2408 Enfield Rd, #213, Austin, TX 78703 | 2007-02-19 |
| Find all providers in zip 78703 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605116 | Physmedics LLC | Contractor | 10900 Research Blvd., Ste 160-c, #3, Austin, TX 78759-5718 | 2020-07-01 |
| 1942846332 | Chrysalis Consulting Group, LLC | Contractor | 11701 Three Oaks Trl, Austin, TX 78759-3818 | 2019-11-21 |
| 1902388523 | Meridith Taylor | Contractor | 6109 Chictora Cv, Austin, TX 78759-6263 | 2018-08-30 |
| 1730618976 | Ismael S Mohamed Zain | Contractor | 12101 Dessau Rd Apt 1105, Austin, TX 78754-2086 | 2017-06-10 |
| 1639608581 | Tewodros Kassa | Contractor | 13021 Dessau Rd Lot 196, Austin, TX 78754-1994 | 2017-06-05 |
| 1073042909 | Tracey Carter | Contractor | 12345 Lamplight Village Ave Apt 127, Austin, TX 78758-2551 | 2017-06-05 |
| 1992177018 | Vonice Arlene Harris | Contractor | 5500 S 1st St, Austin, TX 78745-3042 | 2015-10-28 |
| 1023489929 | Joseph Scroggins | Contractor | 10001 S 1st St, 214, Austin, TX 78748-6686 | 2015-10-18 |
| 1104208123 | Shelby Grimes | Contractor | 4716 Duval Rd Apt C13, Austin, TX 78727-6852 | 2015-06-25 |
| 1356736052 | Angel Roberto Pina | Contractor | 10237 Crescendo Ln, Austin, TX 78747-2768 | 2015-03-31 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.