Individual
DR. BRIAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-3111
Mailing address
2707 COLE AVE, APARTMENT 620, DALLAS, TX 75204-1006
(512) 771-2103
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
BP10033754
TX
Other
Enumeration date
06/05/2009
Last updated
08/05/2014
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