Individual
DR. JESSICA LYNNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-4060
Mailing address
6431 FANNIN, JJL 270, HOUSTON, TX 77030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q4342
TX
Other
Enumeration date
04/26/2011
Last updated
11/10/2021
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