Individual
LESLIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3130 SE MILITARY DR STE 101, SAN ANTONIO, TX 78223-3892
(210) 543-7334
(210) 370-3172
Mailing address
18903 HONEY MESQUITE, SAN ANTONIO, TX 78258-1635
(210) 573-8276
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J7870
TX
Other
Enumeration date
10/21/2005
Last updated
09/18/2014
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