Individual
DENA MARIE WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1201 E 9TH ST, NHCU, BONHAM, TX 75418-4059
(903) 583-6500
(903) 583-6625
Mailing address
PO BOX 423, WHITEWRIGHT, TX 75491-0423
(903) 583-6500
(903) 583-6625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00741
TX
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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