Individual
LARRY D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 MEDICAL PKWY BLDG B, SUITE 205, CEDAR PARK, TX 78613-7763
(512) 528-7401
(512) 528-7402
Mailing address
720 COOL SPRINGS BLVD, SUITE 300, FRANKLIN, TN 37067-2626
(615) 778-4066
(615) 778-9114
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
H1333
TX
Other
Enumeration date
03/30/2007
Last updated
10/20/2010
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