Organization
FREDERIC J. WILSON, MD, PLLC
Active
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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