Individual
LOUIS J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1104 BROOK AVENUE, WICHITA FALLS, TX 76301-5049
(940) 687-6870
(940) 687-6871
Mailing address
1104 BROOK AVENUE, WICHITA FALLS, TX 76301-5049
(940) 687-6870
(940) 687-6871
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
K3534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029658401
—
TX
Enumeration date
04/07/2006
Last updated
10/27/2021
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