Robert David Wilson in Beaumont - Chiropractor
Robert David Wilson - NPI 1871644112
Robert David Wilson is a Chiropractor in Beaumont, Texas. Robert David Wilson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Robert David Wilson is 1871644112. The last update date is 2007-07-08.
Robert David Wilson's current location address is 7060 Phelan Blvd, Beaumont, Texas. You can contact this provider via phone number 4098668661 and fax number 4098664371. The mailing address for Robert David Wilson is 7060 Phelan Blvd, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert David Wilson |
|---|---|
| Address | 7060 Phelan Blvd, Beaumont, Texas |
| Phone Number | 4098668661 |
| Fax Number | 4098664371 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1871644112 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7060 Phelan Blvd |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777066168 |
| Phone Number | 4098668661 |
| Fax Number | 4098664371 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4621 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4621 | TX | STATE LICENSE | |
| 8K7170 | TX | BLUE CROSS BLUE SHIELD ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Robert David Wilson by the Centers for Medicare & Medicaid Services?
The Robert David Wilson has been issued the NPI (National Provider Identifier) 1871644112, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Robert David Wilson located?
The Robert David Wilson is located at 7060 Phelan Blvd, Beaumont, TX 777066168.
What is Robert David Wilson's area of expertise and its corresponding taxonomy classification?
The Robert David Wilson's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1871644112 assigned to Robert David Wilson?
The Robert David Wilson was issued its 1871644112 on 2007-01-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Robert David Wilson most recently updated or revised?
The details related to Robert David Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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