Individual
MR. INYANG E WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
606 N GULF BLVD, FREEPORT, TX 77541-3902
(979) 871-9354
(979) 871-9429
Mailing address
PO BOX 921, FRESNO, TX 77545-0921
(979) 871-9453
(979) 871-9429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00933
TX
Other
Enumeration date
06/03/2006
Last updated
06/17/2013
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