Individual
DR. DAN E WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
425 HOLDERRIETH BLVD, SUITE206, TOMBALL, TX 77375-4543
(281) 357-5454
(281) 357-5499
Mailing address
425 HOLDERRIETH BLVD, SUITE206, TOMBALL, TX 77375-4543
(281) 357-5454
(281) 357-5499
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
K-6414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148843003
—
AR
Enumeration date
05/16/2006
Last updated
11/10/2008
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