MR. Welton Wayne Wilson, P.A.

NPI #1568646644 in Shenandoah, Texas

Provider Information

NPI Number: 1568646644
Entity Type: Individual
Name: MR. Welton Wayne Wilson, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Dec 24, 2007
Last Updated: Oct 16, 2020

Practice Location

Address: 19073 I 45 S STE 145
Address 2: SYNERGENX HEALTH
City: Shenandoah
State: Texas
ZIP Code: 77385-8744
Phone: (281) 362-5580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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