Individual
DR. JAMES FRANKLIN WILDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3415 S LOOP 256, PALESTINE, TX 75801-6981
(903) 727-2200
(903) 727-2209
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
K1725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119039906
—
TX
05
—
119039907
—
TX
05
—
119039908
—
TX
05
—
119039909
—
TX
05
—
18621856
—
NM
01
—
8S7050
BLUE CROSS OF TEXAS
TX
Enumeration date
06/12/2006
Last updated
06/20/2008
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