Individual
DAVID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1635 NORTH LOOP W, HOUSTON, TX 77008-1532
(713) 867-2000
Mailing address
PO BOX 842368, DALLAS, TX 75284-2368
(866) 916-5259
(231) 922-7403
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L4810
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154702802
—
TX
05
—
154702803
—
TX
Enumeration date
07/17/2006
Last updated
02/19/2008
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