Individual
DR. DIANA ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 12TH AVE STE 171, FORT WORTH, TX 76104-3926
(817) 576-6500
(682) 703-2064
Mailing address
1001 12TH AVE STE 171, FORT WORTH, TX 76104-3926
(817) 576-6500
(682) 703-2064
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
J0729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129595807
—
TX
05
—
162405801
—
TX
Enumeration date
08/25/2005
Last updated
02/10/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us