Individual
AMBER LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5407 ENCINO OAK WAY, KILLEEN, TX 76542-5952
(218) 791-7011
Mailing address
5407 ENCINO OAK WAY, KILLEEN, TX 76542-5952
(218) 791-7011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD 652
HI
363AM0700X
Medical Physician Assistant
4479
SC
Other
Enumeration date
09/27/2014
Last updated
11/22/2022
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