Individual
MRS. KRISTIAN ALEXANDRA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 974-8181
Mailing address
5384 J R DR, ROYSE CITY, TX 75189-8068
(915) 831-0012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
955072
TX
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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