Individual
DR. ANDREA MICHELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
832 MAIN ST, STE 100, KERRVILLE, TX 78028-5352
(830) 896-2273
(830) 896-2673
Mailing address
PO BOX 291077, KERRVILLE, TX 78029-1077
(830) 896-2273
(830) 896-2673
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073618
BLUELINK
—
01
—
609312
BCBS
TX
Enumeration date
05/23/2006
Last updated
07/13/2010
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