Individual
DIANA JEAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 GESSNER RD, HOUSTON, TX 77024-2501
(713) 242-3650
Mailing address
6414 FANNIN ST STE G125, HOUSTON, TX 77030-1518
(832) 325-7093
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP111838
TX
Other
Enumeration date
08/12/2013
Last updated
12/15/2018
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