Russell Carl Wilson in Allen - Physician Assistant
Russell Carl Wilson - NPI 1780675967
Russell Carl Wilson is a Physician Assistant in Allen, Texas. Russell Carl Wilson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Russell Carl Wilson is 1780675967. The last update date is 2022-09-20.
Russell Carl Wilson's current location address is 1125 Raintree Cir Ste 100, Allen, Texas. You can contact this provider via phone number 9727279995 and fax number 9727278350. The mailing address for Russell Carl Wilson is 1125 Raintree Cir Ste 100, Allen, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Carl Wilson |
|---|---|
| Address | 1125 Raintree Cir Ste 100, Allen, Texas |
| Phone Number | 9727279995 |
| Fax Number | 9727278350 |
| Sole Proprietor | N |
| Credentials | P.A.-C, A. |
NPI Number Detail
| NPI Number | 1780675967 |
|---|---|
| Provider Enumeration Date | 2005-11-04 |
| Last Updated Date | 2022-09-20 |
Provider Mailing Address Detail
| Address | 1125 Raintree Cir Ste 100 |
|---|---|
| City | Allen |
| State | Texas (TX) |
| Post Code | 750135289 |
| Phone Number | 9727279995 |
| Fax Number | 9727278350 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA.0005767 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 360930704 | TX | -- | |
| 8029NH | TX | BCBSTX |
Post Comment/ Review Below
What is the unique identification code assigned to Russell Carl Wilson by the Centers for Medicare & Medicaid Services?
The Russell Carl Wilson has been issued the NPI (National Provider Identifier) 1780675967. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Russell Carl Wilson's facilities are situated?
The facilities of Russell Carl Wilson are physically located at the following address: 1125 Raintree Cir Ste 100, Allen, TX, 750135289.
What is Russell Carl Wilson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Russell Carl Wilson is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Russell Carl Wilson receive its 1780675967 assignment from the Centers for Medicare & Medicaid Services?
The Russell Carl Wilson was assigned its 1780675967 by the Centers for Medicare & Medicaid Services on 2005-11-04.
When was the information related to Russell Carl Wilson most recently updated or refreshed?
The details pertaining to the Russell Carl Wilson, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-09-20.
NPI Number: 1336142389
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