MR. Russell Carl Wilson, P.A.-C, A.T.C.

NPI #1780675967 in Allen, Texas

Provider Information

NPI Number: 1780675967
Entity Type: Individual
Name: MR. Russell Carl Wilson, P.A.-C, A.T.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medical Technician, Paramedic
Credential: P.A.-C, A.T.C.
Enumeration Date: Nov 4, 2005
Last Updated: Sep 20, 2022

Practice Location

Address: 1125 RAINTREE CIR STE 100
City: Allen
State: Texas
ZIP Code: 75013-5289
Phone: (972) 727-9995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medical Technician, Paramedic	146L00000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physician Assistant	363A00000X

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