Individual
CORY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-4887
Mailing address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-4887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-12103
IA
207R00000X
Internal Medicine Physician
V6733
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
V6733
IA
207RP1001X
Pulmonary Disease Physician
MD-51114
IA
208M00000X
Hospitalist Physician
Primary
V6733
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
V6733
TX
Other
Enumeration date
06/02/2021
Last updated
04/15/2026
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