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Individual
CORY WILSON
Active
Individual
CORY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-12103
IA
207R00000X
Internal Medicine Physician
V6733
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
V6733
IA
207RP1001X
Pulmonary Disease Physician
MD-51114
IA
208M00000X
Hospitalist Physician
Primary
V6733
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
V6733
TX
Other
Enumeration date
06/02/2021
Last updated
04/15/2026
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