NPI 1003134347

Tara Jene Wilson, LSA

Practitioner Surgical Assistant Houston, TX

Practice location

Address: 9800 Centre Pkwy 530, Houston, TX 77036-8271
Phone: (713) 777-4539
Fax: (713) 583-2061

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence SA00516 (TX)

Other Specialist/Technologist, Other providers in Texas →

Registry record

NPI: 1003134347
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2010
Record last updated: 25 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.