Individual
ALEXANDRA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4900 MUELLER BLVD, C/O DELL CHILDREN'S MEDICAL CENTER, AUSTIN, TX 78723-3079
(512) 324-0000
(512) 324-0721
Mailing address
4900 MUELLER BLVD, C/O DELL CHILDREN'S MEDICAL CENTER, AUSTIN, TX 78723-3079
(512) 324-0000
(512) 324-0721
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
L9961
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168483902
—
TX
Enumeration date
08/23/2006
Last updated
12/29/2011
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