Individual
JAMES WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.T.
Contact information
Practice address
1001 E FM 2410 RD, HARKER HEIGHTS, TX 76548-6845
(254) 336-0862
Mailing address
5303 COLORADO DR, KILLEEN, TX 76542-5322
(254) 336-0862
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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