Wesley G. Wilson, D.o., P.a.

NPI #1073707626 in Forney, Texas

Provider Information

NPI Number: 1073707626
Entity Type: Organization
Organization Name: Wesley G. Wilson, D.o., P.a.
Primary Specialty: Family Medicine
Enumeration Date: Aug 28, 2007
Last Updated: Dec 18, 2007

Practice Location

Address: 713 W BROAD #200
City: Forney
State: Texas
ZIP Code: 75126-9107
Phone: (972) 564-0711

Authorized Official

Name: DR. WESLEY GARRETT WILSON, D.O.
Title: PRESIDENT/PHYSICIAN
Phone: (972) 564-0711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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