| NPI | 1215197090 | 
|---|---|
| Other Name | JOHN W WILSON DO PA | 
| Entity Type | Organization | 
| Authorized Contact | JOHN W WILSON Physician 972-889-1194 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX E6952) | 
| Enumeration Date | 2008-06-14 | 
| Last Update Date | 2008-11-13 |