Individual
DR. MAURICE JOE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1409 N LOOP 336 W, CONROE, TX 77304-3503
(936) 788-2551
(936) 788-2551
Mailing address
1409 N LOOP 336 W, CONROE, TX 77304-3503
(936) 788-2551
(936) 788-2551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3708TG
TX
152WC0802X
Corneal and Contact Management Optometrist
3708T
TX
152WC0802X
Corneal and Contact Management Optometrist
Primary
3708TG
TX
152WC0802X
Corneal and Contact Management Optometrist
OPT13434TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127225407
—
TX
Enumeration date
08/02/2006
Last updated
02/24/2026
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