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Individual

DR. BRADEN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3355 EARL CAMPBELL PKWY, TYLER, TX 75701-8435
(903) 526-0444
(903) 595-6650
Mailing address
3355 EARL CAMPBELL PKWY, TYLER, TX 75701-8435
(903) 526-0444
(903) 595-6650

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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