Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
YOUR HOUSTON DENTIST
Active
Organization
YOUR HOUSTON DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY RIX WILSON DDS, MSD (OWNER)
(713) 789-1200
Entity
Organization
Contact information
Practice address
2077 S GESSNER RD, SUITE 125, HOUSTON, TX 77063-1147
(713) 789-1200
(713) 789-1219
Mailing address
2077 S GESSNER RD, SUITE 125, HOUSTON, TX 77063-1147
(713) 789-1200
(713) 789-1219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053329185
NPI TYPE 1
TX
Enumeration date
01/02/2008
Last updated
01/23/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up