Gregory Stephan Wilson in Cleburne - Family Medicine
Gregory Stephan Wilson - NPI 1659364263
Gregory Stephan Wilson is a Family Medicine in Cleburne, Texas. Gregory Stephan Wilson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gregory Stephan Wilson is 1659364263. The last update date is 2023-08-08.
Gregory Stephan Wilson's current location address is 1001 South Nolan River Rd, Cleburne, Texas. You can contact this provider via phone number 8175179466 and fax number 8175569156. The mailing address for Gregory Stephan Wilson is 1001 South Nolan River Rd, Cleburne, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Stephan Wilson |
|---|---|
| Address | 1001 South Nolan River Rd, Cleburne, Texas |
| Phone Number | 8175179466 |
| Fax Number | 8175569156 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1659364263 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2023-08-08 |
Provider Mailing Address Detail
| Address | 1001 South Nolan River Rd |
|---|---|
| City | Cleburne |
| State | Texas (TX) |
| Post Code | 760336501 |
| Phone Number | 8175179466 |
| Fax Number | 8175569156 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | G0293 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00DR73 | TX | BLUE CROSS BLUE SHIELD | |
| 121512101 | TX | -- | |
| 121512104 | TX | TEXAS MEDICAID THSTP | |
| 1029775 | TX | AMERIGROUP TEXAS, INC |
Post Comment/ Review Below
What is the unique identifier code issued to Gregory Stephan Wilson by the Centers for Medicare & Medicaid Services?
The Gregory Stephan Wilson has been assigned the NPI (National Provider Identifier) 1659364263. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gregory Stephan Wilson is physically located?
The Gregory Stephan Wilson is physically situated at the following address: 1001 South Nolan River Rd, Cleburne, TX, 760336501.
What is Gregory Stephan Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gregory Stephan Wilson is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Gregory Stephan Wilson receive its 1659364263 assignment from the Centers for Medicare & Medicaid Services?
The Gregory Stephan Wilson was assigned its 1659364263 by the Centers for Medicare & Medicaid Services on 2005-08-30.
As of what date were the details related to Gregory Stephan Wilson most recently updated or revised?
The information pertaining to Gregory Stephan Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-08.