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Individual

DR. RICHARD EARL WLSON II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ED. D

Contact information

Practice address
4112 AUSTIN ST, HOUSTON, TX 77004-4813
(713) 884-0884
(713) 583-5877
Mailing address
4112 AUSTIN ST, HOUSTON, TX 77004-4813
(713) 884-0884
(713) 583-5877

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
171W00000X
Contractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1154563419
NPI
TX
05
147509701
TX
01
1740421171
NPI
01
1902948326
NPI
TX
Enumeration date
06/17/2009
Last updated
03/07/2023
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