Individual
MR. DAVID GEORGE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPO, CP, LP
Contact information
Practice address
6011 HARRY HINES BLVD, SUITE V2.302, DALLAS, TX 75390-9091
(214) 645-8254
(214) 645-8258
Mailing address
6011 HARRY HINES BLVD, SUITE V5.400, DALLAS, TX 75390-9091
(214) 645-8254
(214) 645-8258
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1625
TX
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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