Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
REGENESYS PHYSICAL MEDICINE PLLC
Active
Organization
REGENESYS PHYSICAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON B WILSON DC (OWNER)
(972) 712-5556
Entity
Organization
Contact information
Practice address
425 OLD NEWMAN RD STE 100, FRISCO, TX 75036-4773
(972) 712-5556
(972) 712-5579
Mailing address
425 OLD NEWMAN RD STE 100, FRISCO, TX 75036-4773
(972) 712-5556
(972) 712-5579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10828
LICENSE
TX
Enumeration date
02/20/2018
Last updated
01/03/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers