Individual
DR. BENJAMIN GREGG WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1040 S FLEISHEL AVE, SUITE 4, TYLER, TX 75701-2044
(903) 535-9355
Mailing address
3625 MCDONALD RD, TYLER, TX 75701-6224
(903) 565-4263
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10527
TX
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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