MS. Tara Jene Wilson, LSA

NPI #1003134347 in Houston, Texas

Provider Information

NPI Number
1003134347
Entity Type
Individual
Name
MS. Tara Jene Wilson, LSA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Credential
LSA
Enumeration Date
May 11, 2010
Last Updated
Nov 25, 2014

Practice Location

Address
9800 CENTRE PKWY
Address 2
530
State
Texas
ZIP Code
77036-8271
Phone
(713) 777-4539

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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