Individual
DR. CLARK ALEXANDER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 OLYMPIC PLAZA CIR STE 700, TYLER, TX 75701-1954
(032) 623-9009
(903) 262-3993
Mailing address
700 OLYMPIC PLAZA CIR STE 700, TYLER, TX 75701-1954
(032) 623-9009
(903) 262-3993
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35.135944
OH
208800000X
Urology Physician
Primary
Q7812
TX
Other
Enumeration date
09/02/2012
Last updated
08/10/2021
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