Wesley G Wilson Do Pa | |
605 E Broad St Forney TX 75126-4116 | |
(469) 720-4490 | |
(833) 450-4889 |
Full Name | Wesley G Wilson Do Pa |
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Speciality | Family Medicine |
Location | 605 E Broad St, Forney, Texas |
Authorized Official Name and Position | Wesley Garrett Wilson (PHYSICIAN /OWNER) |
Authorized Official Contact | 4697204490 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wesley G Wilson Do Pa 605 E Broad St Forney TX 75126-4116 Ph: (469) 720-4490 | Wesley G Wilson Do Pa 605 E Broad St Forney TX 75126-4116 Ph: (469) 720-4490 |
NPI Number | 1639900129 |
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Provider Enumeration Date | 08/08/2024 |
Last Update Date | 08/08/2024 |
Medicare PECOS PAC ID | 9133567423 |
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Medicare Enrollment ID | O20240405000771 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639900129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Wesley G Wilson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447256128 PECOS PAC ID: 9133222417 Enrollment ID: I20080109000444 |
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