Individual
STEVE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 LIPSCOMB ST, BONHAM, TX 75418-4027
(903) 583-7433
Mailing address
1696 COUNTY ROAD 3025, BONHAM, TX 75418-9237
(903) 640-2001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2028165
LICENSE
TX
Enumeration date
08/30/2006
Last updated
07/08/2007
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