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Individual

DR. PATRICE SUZANNE WILSON

Active
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Individual

DR. PATRICE SUZANNE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
55834
MN
207L00000X
Anesthesiology Physician
Primary
Q8188
TX
207LP3000X
Pediatric Anesthesiology Physician
Q8188
TX
207R00000X
Internal Medicine Physician
BP10041734
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/23/2011
Last updated
09/22/2016
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