Individual
SANDRA KAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-8441
Mailing address
1635 COUNTY ROAD 313 W, TYLER, TX 75706-2813
(903) 920-3984
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
205120
TX
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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