Individual
JAMES WADE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6124 W PARKER RD, SUITE 530, PLANO, TX 75093-8122
(214) 778-1075
(214) 778-1237
Mailing address
6124 W PARKER RD, SUITE 530, PLANO, TX 75093-8122
(214) 778-1075
(214) 778-1237
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
M6464
TX
207RP1001X
Pulmonary Disease Physician
M6464
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M6464
TEXAS LICENSE
TX
Enumeration date
05/23/2007
Last updated
07/05/2017
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