Individual
DR. MARC A. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
323 N BONNIE BRAE STREET, DENTON, TX 76201
(940) 484-7100
(940) 484-7101
Mailing address
323 N BONNIE BRAE STREET, DENTON, TX 76201
(940) 484-7100
(940) 484-7101
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L0704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144688203
—
TX
Enumeration date
07/06/2006
Last updated
04/11/2012
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