MRS. Teresa Lynne Wilson, PA-C

NPI #1861614109 in Alton, Texas

Provider Information

NPI Number: 1861614109
Entity Type: Individual
Name: MRS. Teresa Lynne Wilson, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 3, 2007
Last Updated: Jun 25, 2014

Practice Location

Address: 1315 W MAIN AVE STE 13A
City: Alton
State: Texas
ZIP Code: 78573-1642
Phone: (956) 432-0222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary
Pediatrics	208000000X

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