Larry Don Wilson, PA-C
NPI #1306848981 in Bacliff, Texas
Provider Information
- NPI Number
- 1306848981
- Entity Type
- Individual
- Name
- Larry Don Wilson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Aug 12, 2005
- Last Updated
- Dec 21, 2010
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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