Individual
PETER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
807 ORCHARD PEAK CT, HOUSTON, TX 77062-2167
(281) 218-0642
Mailing address
807 ORCHARD PEAK CT, HOUSTON, TX 77062-2167
(281) 218-0642
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP127840
TX
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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