Organization
FREDERIC J. WILSON, MD, PLLC
Active
Other names
The Wilson Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERIC WILSON MD (AUTHORIZE OFFICE OFFICIAL)
(512) 858-7474
Entity
Organization
Contact information
Practice address
800 US HWY 290 W BLDG B, SUITE 400, DRIPPING SPRINGS, TX 78620-4191
(512) 858-7474
Mailing address
800 US HWY 290 WEST BLDG B, SUITE 400, DRIPPING SPRINGS, TX 78620-4191
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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