Individual
BILLY DWAYNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1208 MADISON TER, GLENN HEIGHTS, TX 75154-8833
(214) 557-5512
(972) 274-0811
Mailing address
1208 MADISON TER, GLENN HEIGHTS, TX 75154-8833
(214) 557-5512
(972) 274-0811
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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