Individual
DR. CHARLES S WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2102 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8736
(956) 296-1547
Mailing address
2102 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8736
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME163073
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2020
Last updated
09/27/2024
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