Kent A. Wilson, O.D.

NPI #1013924364 in Terrell, Texas

Provider Information

NPI Number: 1013924364
Entity Type: Individual
Name: Kent A. Wilson, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 808 W MOORE AVE
Address 2: SUITE B
City: Terrell
State: Texas
ZIP Code: 75160-3002
Phone: (972) 563-5533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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