Individual
TRAVIS J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16020 PARK VALLEY DR, ROUND ROCK, TX 78681-3573
(512) 244-0766
(512) 244-1013
Mailing address
16020 PARK VALLEY DR, ROUND ROCK, TX 78681-3573
(512) 244-0766
(512) 244-1013
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R8134
TX
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
MD60733507
WA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
R8134
TX
Other
Enumeration date
06/15/2012
Last updated
08/27/2018
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