Individual
DESTINY DESHAWN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
7777 FOREST LN STE 300, DALLAS, TX 75230-2571
(972) 284-7770
Mailing address
7777 FOREST LN STE 300, DALLAS, TX 75230-2571
(972) 284-7770
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
T0673
TX
Other
Enumeration date
03/20/2017
Last updated
04/01/2022
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