Organization
KATHY WILSON, M.D., P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY ROSE WILSON M. D. (PRESIDENT)
(830) 792-1132
Entity
Organization
Contact information
Practice address
703 HILL COUNTRY DR, SUITE 302, KERRVILLE, TX 78028-5904
(830) 792-1132
(830) 792-7747
Mailing address
PO BOX 291826, KERRVILLE, TX 78029-1826
(830) 792-1132
(830) 792-7747
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC8043
MEDICARE RAILROAD GROUP
TX
01
—
P00191112
MEDICARE RAILROAD
TX
Enumeration date
07/13/2006
Last updated
10/17/2022
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