Individual
MR. JAMES WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 SUNSET BLVD, HOUSTON, TX 77005-1798
(713) 526-5511
Mailing address
1701 SUNSET BLVD, HOUSTON, TX 77005-1798
(713) 520-4713
(713) 520-4755
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
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