Organization
WICHITA FALLS GASTROENTEROLOGY ASSOCIATES
Active
Organization
WICHITA FALLS GASTROENTEROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS WILSON M.D. (REGISTERED AGENT)
(940) 687-6870
Entity
Organization
Contact information
Practice address
1104 BROOK AVE, WICHITA FALLS, TX 76301-5049
(940) 687-6870
(940) 687-6871
Mailing address
1104 BROOK AVE, WICHITA FALLS, TX 76301-5049
(940) 687-6870
(940) 687-6871
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
10/27/2021
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