Individual
CHRISTINE HOGAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PNP
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9087
(214) 476-8559
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
858917
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1037464
TX
Other
Enumeration date
09/25/2021
Last updated
11/17/2022
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