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Individual

COURTNEY ELIZABETH WILD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-1000
Mailing address
16304 FM 1325 APT 4204, AUSTIN, TX 78728-1146

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1159326
TX

Other

Enumeration date
01/10/2026
Last updated
01/10/2026
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