Individual
DR. CHRISTINA HOLDER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4409 GAINES RANCH LOOP, AUSTIN, TX 78735-6555
(512) 217-7283
Mailing address
PMB-316, 6800 W GATE BLVD #132, AUSTIN, TX 78745-4868
(512) 217-7283
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1466
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121865-02
—
TX
Enumeration date
07/27/2005
Last updated
09/06/2018
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