Individual
MR. JAMES WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J5062
TX
207RI0011X
Interventional Cardiology Physician
J5062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060042185
MCR RAILROAD
TX
05
—
124671203
—
TX
01
—
5907011
AETNA
TX
01
—
82500F
BCBS
TX
Enumeration date
09/01/2006
Last updated
06/24/2024
Update your record
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