Dr Phillip Lee Wilson, AUD CCCA is a
Audiologist-hearing Aid Fitter based in Dallas, Texas. Dr Phillip Lee Wilson is licensed to practice in * (Not Available) (license number 90336) and his current practice location is
1966 Inwood Rd, Dallas, Texas. He can be reached at his office (for appointments etc.) via phone at
(214) 905-3010.
NPI number for Dr Phillip Lee Wilson is 1053493155 and his current mailing address is 1966 Inwood Rd, Dallas, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053493155.
Healthcare Provider's Profile
Full Name | Dr Phillip Lee Wilson |
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Gender | Male |
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Speciality | Audiologist-hearing Aid Fitter |
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Location | 1966 Inwood Rd, Dallas, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053493155
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Phillip Lee Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053493155 | NPI | - | NPPES |
80175A | Other | TX | BLUE CROSS BLUE SHIELD |
1585769 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 50319 (Texas) | Primary |
237600000X | Audiologist-hearing Aid Fitter | 90336 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Phillip Lee Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Phillip Lee Wilson, AUD CCCA 1966 Inwood Rd, Dallas, TX 75235-7298 Ph: (214) 905-3010 | Dr Phillip Lee Wilson, AUD CCCA 1966 Inwood Rd, Dallas, TX 75235-7298 Ph: (214) 905-3010 |
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