Individual
JAMES K WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C., L.A.T.
Contact information
Practice address
6620 MAIN ST, 13TH FLOOR, HOUSTON, TX 77030-2305
(713) 986-5595
(713) 986-5591
Mailing address
3807 APPALACHIAN TRL, HUMBLE, TX 77345-4931
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1188
TX
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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