Individual
MARY KATHERINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PNP-PC
Contact information
Practice address
6621 FANNIN ST # 2210, HOUSTON, TX 77030-2358
(832) 824-2000
Mailing address
4215 LILLIAN ST, HOUSTON, TX 77007-5622
(214) 912-6003
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1127530
TX
Other
Enumeration date
07/05/2023
Last updated
07/16/2025
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