Individual
DR. PHILLIP LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD CCCA
Contact information
Practice address
1966 INWOOD RD, DALLAS, TX 75235-7298
(214) 905-3010
(214) 905-3022
Mailing address
1966 INWOOD RD, DALLAS, TX 75235-7298
(214) 905-3010
(214) 905-3022
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
50319
TX
237600000X
Audiologist-Hearing Aid Fitter
Primary
90336
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1585769
—
LA
01
—
80175A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/19/2006
Last updated
09/11/2025
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