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Individual
RICHARD PAUL WILSON
Active
Individual
RICHARD PAUL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8431
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
M8431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210602301
—
TX
01
—
8BZ229
BCBS RECORD ID
TX
Enumeration date
02/12/2008
Last updated
03/27/2017
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