Provider Demographics
NPI:1134110844
Name:HOWARD, WILBUR F JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILBUR
Middle Name:F
Last Name:HOWARD
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4325 N JOSEY LN
Mailing Address - Street 2:SUITE 308
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4635
Mailing Address - Country:US
Mailing Address - Phone:972-394-3699
Mailing Address - Fax:972-394-6517
Practice Address - Street 1:4325 N JOSEY LN
Practice Address - Street 2:SUITE 308
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4635
Practice Address - Country:US
Practice Address - Phone:972-394-3699
Practice Address - Fax:972-394-6517
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXD7090207VE0102X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC17130Medicare UPIN
ME37Medicare ID - Type Unspecified