DR. Richard Grover Wilson, D.C.

NPI #1194015925 in Waco, Texas

Provider Information

NPI Number: 1194015925
Entity Type: Individual
Name: DR. Richard Grover Wilson, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Apr 13, 2011
Last Updated: Apr 13, 2011

Practice Location

Address: 708 LAKE AIR DR
City: Waco
State: Texas
ZIP Code: 76710-5772
Phone: (254) 741-6122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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