DR. Clark Alexander Wilson, MD

NPI #1083963334 in Tyler, Texas

Provider Information

NPI Number: 1083963334
Entity Type: Individual
Name: DR. Clark Alexander Wilson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: MD
Enumeration Date: Sep 2, 2012
Last Updated: Aug 10, 2021

Practice Location

Address: 700 OLYMPIC PLAZA CIR STE 700
City: Tyler
State: Texas
ZIP Code: 75701-1954
Phone: (032) 623-9009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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