Individual
DR. MARK WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3134 BRIARCREST DR, BRYAN, TX 77802-3014
(979) 314-2323
Mailing address
17268 EAGLE PASS DR, COLLEGE STATION, TX 77845-4567
(979) 217-1317
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N1225
TX
Other
Enumeration date
10/10/2006
Last updated
06/01/2021
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