Healthcare Provider Details

I. General information

NPI: 1124720107
Provider Name (Legal Business Name): AUDREY LEIGH PILKINGTON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AUDREY BROWN PA-C

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 W RALPH HALL PKWY STE 102
ROCKWALL TX
75032-8711
US

IV. Provider business mailing address

1790 N STONEBRIDGE DR
MCKINNEY TX
75071-7437
US

V. Phone/Fax

Practice location:
  • Phone: 970-390-9002
  • Fax: 972-722-3553
Mailing address:
  • Phone: 972-390-9002
  • Fax: 214-491-3777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA17997
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA-1169
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: