Individual
DR. ALEXANDER WARREN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND AFB, TX 78236-9908
(210) 916-3290
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2023000456
MO
Other
Enumeration date
04/01/2021
Last updated
03/27/2023
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