Individual
STEVEN J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 W MEDICAL CT, WICHITA FALLS, TX 76310-1767
(940) 689-9664
(940) 689-9662
Mailing address
1 W MEDICAL CT, WICHITA FALLS, TX 76310-1767
(940) 689-9664
(940) 689-9662
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MDJ6814
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8B5610
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/14/2006
Last updated
01/08/2008
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