Individual
DR. BRADEN WILSON
Active
Individual
DR. BRADEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
E16658
AR
207W00000X
Ophthalmology Physician
Primary
W1919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303016001
—
AR
Enumeration date
03/19/2019
Last updated
10/30/2025
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