Individual
CALEB T WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1440 RIKISHA LN, BEAUMONT, TX 77706-3537
(409) 338-6124
Mailing address
1440 RIKISHA LN, BEAUMONT, TX 77706-3537
(409) 338-6124
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
NONE
TX
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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