Individual
MR. JAMES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
36065 SANTE FE AVE, CARL R.DARNALL ARMY MEDICAL CENTER, FORT HOOD, TX 76544
(253) 304-1248
Mailing address
36065 SANTE FE AVE., CARL R.DARNALL ARMY MEDICAL CENTER, FORT HOOD, TX 76544
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
75200
SC
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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