Individual
STEPHANIE ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
2025 GUADALUPE ST STE 260, AUSTIN, TX 78705-5642
(917) 382-0243
(315) 273-6048
Mailing address
20119 TIMBERNOOK PASS, NEW CANEY, TX 77357-1119
(832) 857-5000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1417630401
TX
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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