Individual
JAMES W WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6550 FANNIN ST, 2237, HOUSTON, TX 77030-2717
(713) 790-4600
(713) 793-1229
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10950
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85D510
BCBS
TX
Enumeration date
07/03/2006
Last updated
02/12/2008
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