Dr Randall G Wilson, MD is a
Nuclear Medicine - Nuclear Cardiology physician based in Dallas, Texas. Dr Randall G Wilson is licensed to practice in Texas (license number G7961) and his current practice location is 3430 W Wheatland Rd, Suite 202, Dallas, Texas. He can be reached at his office (for appointments etc.) via phone at
(972) 296-7920.
NPI number for Dr Randall G Wilson is 1144279407 and his current mailing address is 16980 Dallas Pkwy, Suite 200, Dallas, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144279407.
Physician's Profile
| Full Name | Dr Randall G Wilson |
|---|
| Gender | Male |
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| Speciality | Nuclear Medicine - Nuclear Cardiology |
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| Location | 3430 W Wheatland Rd, Dallas, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144279407
- Provider Enumeration Date: 05/06/2006
- Last Update Date: 05/17/2013
Medical Identifiers
Medical identifiers for Dr Randall G Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144279407 | NPI | - | NPPES |
| 8C0880 | Other | TX | BCBS |
| 148882701 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | G7961 (Texas) | Secondary |
| 207UN0901X | Nuclear Medicine - Nuclear Cardiology | G7961 (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. Dr Randall G 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 Randall G Wilson, MD
16980 Dallas Pkwy, Suite 200,
Dallas, TX 75248-1908
Ph: (972) 296-7920 | Dr Randall G Wilson, MD
3430 W Wheatland Rd, Suite 202,
Dallas, TX 75237-3446
Ph: (972) 296-7920 |
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