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Individual
MARK P WILSON
Active
Individual
MARK P WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
648078
TX
363LF0000X
Family Nurse Practitioner
Primary
AP116948
TX
Other
Enumeration date
08/20/2008
Last updated
01/16/2026
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