Individual
DR. CHARLIE DEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST BLDG 35, TEMPLE, TX 76508-3069
(254) 724-2663
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
667403
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
U4665
TX
2086S0105X
Surgery of the Hand (Surgery) Physician
70872
MN
Other
Enumeration date
05/11/2017
Last updated
01/02/2024
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