Individual
JANICE MAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD, UNIVERSITY OF TEXAS MEDICAL BRANCH-DERMATOLOGY, GALVESTON, TX 77555-0783
(409) 772-1911
(409) 772-4456
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0783
(409) 772-1911
(409) 772-4456
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
BP20046284
TX
207ND0900X
Dermatopathology Physician
Q5126
TX
207R00000X
Internal Medicine Physician
BP10044148
TX
Other
Enumeration date
06/03/2012
Last updated
02/08/2024
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