Individual
DR. ROBERT W. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8401 DATAPOINT DR., SUITE 500, SAN ANTONIO, TX 78229-5907
(210) 614-0180
(210) 615-7170
Mailing address
PO BOX 1221, SAN ANTONIO, TX 78294-1221
(210) 614-0180
(210) 615-7170
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J0730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138525411
—
TX
05
—
138525413
—
TX
01
—
86696J
BCBS
TX
Enumeration date
10/02/2006
Last updated
03/10/2011
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