Organization
DR. HOLLIS WILSON P.C.
Active
Other names
Central Texas Chiropractic & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLIS L WILSON D.C. (CEO)
(512) 989-7477
Entity
Organization
Contact information
Practice address
15300-B F.M. 1825, SUITE 114, PFLUGERVILLE, TX 78660
(512) 989-7477
(512) 989-7478
Mailing address
PO BOX 159, PFLUGERVILLE, TX 78691-0159
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087NC
BCBS
TX
Enumeration date
04/17/2007
Last updated
10/22/2007
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