Carmen R Wilson, MD - Pediatrics in Dallas, TX

Carmen R Wilson, MD is a Pediatrics physician based in Dallas, Texas. Carmen R Wilson is licensed to practice in Texas (license number H5145) and her current practice location is 3320 Live Oak St, East Dallas Health Center, Dallas, Texas. She can be reached at her office (for appointments etc.) via phone at (214) 266-1007.

NPI number for Carmen R Wilson is 1275518524 and her current mailing address is Po Box 660599, Dallas, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275518524.

Contact Information

Carmen R Wilson, MD
3320 Live Oak St, East Dallas Health Center,
Dallas, TX 75204-6109
(214) 266-1007
Not Available

Map and Direction




Physician's Profile

Full NameCarmen R Wilson
GenderFemale
SpecialityPediatrics
Location3320 Live Oak St, Dallas, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275518524
  • Provider Enumeration Date: 12/09/2005
  • Last Update Date: 11/28/2012

Medical Identifiers

Medical identifiers for Carmen R Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275518524NPI-NPPES
139450402MedicaidTX
139450404MedicaidTX
139450410MedicaidTX
139450416MedicaidTX
139450408MedicaidTX
139450411MedicaidTX
139450412MedicaidTX
139450406MedicaidTX
139450415MedicaidTX
139450403MedicaidTX
139450414MedicaidTX
139450409MedicaidTX
89G970OtherTXBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics H5145 (Texas)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. Carmen R 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 AddressPractice Location Address
Carmen R Wilson, MD
Po Box 660599,
Dallas, TX 75266-0599

Ph: () -
Carmen R Wilson, MD
3320 Live Oak St, East Dallas Health Center,
Dallas, TX 75204-6109

Ph: (214) 266-1007

Reviews and Comments


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