Individual
HOLLIS LEROY WILSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
15300 B FM 1825, SUITE 114, PFLUGERVILLE, TX 78660
(512) 989-7477
(512) 989-7478
Mailing address
15300 B FM 1825, SUITE 114, PFLUGERVILLE, TX 78660
(512) 989-7477
(512) 989-7478
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6950152
CIGNA
TX
01
—
8U6820
BCBS
TX
Enumeration date
09/25/2006
Last updated
10/22/2007
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