Jennifer Wilson in Chandler - Family Medicine

Jennifer Wilson - NPI 1477639219

Jennifer Wilson is a Family Medicine in Chandler, Texas. Jennifer Wilson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jennifer Wilson is 1477639219. The last update date is 2014-10-14.

Jennifer Wilson's current location address is 803 Highway 31 East, Chandler, Texas. You can contact this provider via phone number 9038495756. The mailing address for Jennifer Wilson is 803 Highway 31 East, Chandler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Wilson
Address 803 Highway 31 East, Chandler, Texas
Phone Number 9038495756
Fax Number
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1477639219
Provider Enumeration Date 2006-10-27
Last Updated Date 2014-10-14

Provider Mailing Address Detail

Address 803 Highway 31 East
City Chandler
State Texas (TX)
Post Code 757580373
Phone Number 9038495756
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No M3794
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
75-2616977-041 TX TRICARE
186968702 TX --
8CW412 TX BCBS
P00967753 TX MEDICARE RR
186968701 TX --
75-2616977-007 TX TRICARE DOUGLAS
752616977002 TX TRICARE
P00385523 TX TC GROUP CR1017

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FAQs about Jennifer Wilson

What is the unique 10-digit identifier code assigned to Jennifer Wilson by the Centers for Medicare & Medicaid Services?

The Jennifer Wilson has been issued the NPI (National Provider Identifier) 1477639219 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jennifer Wilson's facilities are situated?

The facilities of Jennifer Wilson are physically located at the following address: 803 Highway 31 East, Chandler, TX, 757580373.

What is Jennifer Wilson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jennifer Wilson is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date was the 1477639219 assigned to Jennifer Wilson?

The Jennifer Wilson was issued its 1477639219 on 2006-10-27, 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 Jennifer Wilson most recently updated or revised?

The details related to Jennifer Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2014-10-14.

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