John W Wilson D O P a
NPI #1215197090 in Richardson, Texas
Provider Information
- NPI Number
- 1215197090
- Entity Type
- Organization
- Organization Name
- John W Wilson D O P a
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JOHN W WILSON D O P A
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 14, 2008
- Last Updated
- Nov 13, 2008
Practice Location
- Address
- 2011 N COLLINS BLVD
- Address 2
- 609
- City
- Richardson
- State
- Texas
- ZIP Code
- 75080-2645
- Phone
- (972) 889-1194
Authorized Official
- Name
- DR. JOHN W WILSON, DO
- Title
- PHYSICIAN
- Phone
- (972) 889-1194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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