Individual
BAILEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LD, RD
Contact information
Practice address
1401 MEDICAL PKWY, CEDAR PARK, TX 78613-7763
(512) 528-7191
Mailing address
1401 MEDICAL PKWY, CEDAR PARK, TX 78613-7763
(512) 528-7191
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT87528
TX
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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