Individual
MRS. ANNIE PEARL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PFRT
Contact information
Practice address
4500 SOUTH LANCASTER ROAD, DALLAS, TX 75216-7167
(214) 857-1601
Mailing address
4500 SOUTH LANCASTER ROAD, DALLAS, TX 75216-7167
(214) 857-1601
Taxonomy
Speciality
Code
Description
License number
State
225B00000X
Pulmonary Function Technologist
Primary
50249
TX
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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