Individual
MR. MICHAEL RAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
4038 TEAL RUN PLACE CT, FRESNO, TX 77545-7055
(281) 431-5827
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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