Brian Leroy Wilson in Canyon - General Practice
Brian Leroy Wilson - NPI 1902011919
Brian Leroy Wilson is a General Practice in Canyon, Texas. Brian Leroy Wilson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brian Leroy Wilson is 1902011919. The last update date is 2007-07-08.
Brian Leroy Wilson's current location address is 1801 4th Ave, Canyon, Texas. You can contact this provider via phone number 8066551104 and fax number 8066557453. The mailing address for Brian Leroy Wilson is 1801 4th Ave, Canyon, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Leroy Wilson |
|---|---|
| Address | 1801 4th Ave, Canyon, Texas |
| Phone Number | 8066551104 |
| Fax Number | 8066557453 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1902011919 |
|---|---|
| Provider Enumeration Date | 2007-05-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1801 4th Ave |
|---|---|
| City | Canyon |
| State | Texas (TX) |
| Post Code | 790153853 |
| Phone Number | 8066551104 |
| Fax Number | 8066557453 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 20514 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique identifier code issued to Brian Leroy Wilson by the Centers for Medicare & Medicaid Services (CMS)?
The Brian Leroy Wilson has been assigned the NPI (National Provider Identifier) 1902011919. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Brian Leroy Wilson's facilities are geographically located?
The facilities of Brian Leroy Wilson are physically situated at the following location: 1801 4Th Ave, Canyon, TX, 790153853.
What is Brian Leroy Wilson's area of expertise and its corresponding taxonomy classification?
The Brian Leroy Wilson's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Brian Leroy Wilson receive the assignment of its 1902011919 from the Centers for Medicare & Medicaid Services?
The Brian Leroy Wilson was issued its 1902011919 by the Centers for Medicare & Medicaid Services on 2007-05-12.
As of what date were the details pertaining to Brian Leroy Wilson last refreshed?
The information related to the Brian Leroy Wilson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.