Individual
CHRISTI CANTU WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1325 W NORTHWEST HWY, GRAPEVINE, TX 76051-3141
(817) 421-3376
Mailing address
1325 W NORTHWEST HWY, GRAPEVINE, TX 76051-3141
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
577194
TX
Other
Enumeration date
06/10/2009
Last updated
01/09/2014
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