Organization
WAYNE B WILSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE B WILSON MD (OWNER)
(956) 686-6588
Entity
Organization
Contact information
Practice address
222 E RIDGE RD, SUITE 216, MCALLEN, TX 78503-1251
(956) 686-6588
(956) 682-0759
Mailing address
222 E RIDGE RD, SUITE 216, MCALLEN, TX 78503-1251
(956) 686-6588
(956) 682-0759
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129596601
—
TX
Enumeration date
04/14/2015
Last updated
04/14/2015
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