Individual
MRS. MARIAM WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10101 W PARMER LN, AUSTIN, TX 78717-5000
(512) 652-0050
Mailing address
10101 W PARMER LN, AUSTIN, TX 78717-5000
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/01/2013
Last updated
04/01/2013
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