NPI 1083963334

Clark Alexander Wilson, MD

Practitioner Urology Physician Tyler, TX

Practice location

Address: 700 Olympic Plaza Cir STE 700, Tyler, TX 75701-1954
Phone: (032) 623-9009
Fax: (903) 262-3993

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence Q7812 (TX)

Other Urology providers in Texas →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 35.135944 (OH)

Registry record

NPI: 1083963334
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Sep 2012
Record last updated: 10 Aug 2021

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.