Individual
LAURA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 MEDICAL CENTER DR, EL PASO, TX 79902-5005
(915) 747-4000
Mailing address
11200 SEAN HAGGERTY DR, 2301, EL PASO, TX 79934-3386
(915) 276-1356
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
792284
TX
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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