Provider Demographics
NPI:1487761755
Name:WILCOX, TREVA M (LSW)
Entity type:Individual
Prefix:MS
First Name:TREVA
Middle Name:M
Last Name:WILCOX
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8118 MOONLIGHT FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-2843
Mailing Address - Country:US
Mailing Address - Phone:281-820-0285
Mailing Address - Fax:281-820-0285
Practice Address - Street 1:8118 MOONLIGHT FOREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-2843
Practice Address - Country:US
Practice Address - Phone:281-820-0285
Practice Address - Fax:281-820-0285
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management