Stephen L Wilson is a Specialist in Ft Worth, Texas. Stephen L Wilson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Stephen L Wilson is 1760513451. The last update date is 2007-07-08.
Stephen L Wilson's current location address is 1015 S Henderson St, Ft Worth, Texas. You can contact this provider via phone number 8178701035 and fax number 8173325005. The mailing address for Stephen L Wilson is 1015 S Henderson St, Ft Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen L Wilson |
|---|---|
| Address | 1015 S Henderson St, Ft Worth, Texas |
| Phone Number | 8178701035 |
| Fax Number | 8173325005 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1760513451 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1015 S Henderson St |
|---|---|
| City | Ft Worth |
| State | Texas (TX) |
| Post Code | 761042924 |
| Phone Number | 8178701035 |
| Fax Number | 8173325005 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MDG4220 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identification code assigned to Stephen L Wilson by the Centers for Medicare & Medicaid Services?
The Stephen L Wilson has been issued the NPI (National Provider Identifier) 1760513451, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stephen L Wilson?
The Stephen L Wilson is situated at 1015 S Henderson St, in the city of Ft Worth, state of TX, with the zip code 761042924.
What is Stephen L Wilson's area of expertise and its corresponding taxonomy classification?
The Stephen L Wilson's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1760513451 to Stephen L Wilson?
The Stephen L Wilson received its 1760513451 assignment from the Centers for Medicare & Medicaid Services on 2007-03-07.
When was the Stephen L Wilson's information last updated?
The Stephen L Wilson's information was last updated on 2007-07-08.
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