Individual
ELENA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4501 S CLEAR CREEK RD, KILLEEN, TX 76549-4218
(254) 501-6400
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MT-193082
PA
207Q00000X
Family Medicine Physician
Primary
P1032
TX
Other
Enumeration date
05/13/2009
Last updated
01/25/2022
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