DR. Charles R Wilson, D.O.

NPI #1790799807 in Sour Lake, Texas

Provider Information

NPI Number: 1790799807
Entity Type: Individual
Name: DR. Charles R Wilson, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jul 27, 2006
Last Updated: May 1, 2013

Practice Location

Address: 327 MORRIS RD W
City: Sour Lake
State: Texas
ZIP Code: 77659-9774
Phone: (409) 753-2577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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