Tiajannae S Wilson
NPI #1336954973 in Fort Worth, Texas
Provider Information
- NPI Number
- 1336954973
- Entity Type
- Individual
- Name
- Tiajannae S Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 11, 2025
- Last Updated
- Nov 2, 2025
Practice Location
- Address
- 6850 MANHATTAN BLVD # 3002
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76120-1227
- Phone
- (562) 725-0889
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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