Individual
PRISCILLA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 TRADEWINDS BLVD STE B, MIDLAND, TX 79706-3166
(432) 618-6772
(432) 618-6775
Mailing address
701 TRADEWINDS BLVD STE B, MIDLAND, TX 79706-3166
(432) 618-6772
(432) 618-6775
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
887086
TX
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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