NPI 1184051906

David George Wilson, MPOCPLP

Practitioner Prosthetist Dallas, TX

Practice location

Address: 6011 Harry Hines Blvd Suite V2.302, Dallas, TX 75390-9091
Phone: (214) 645-8254
Fax: (214) 645-8258
Mailing address: 6011 Harry Hines Blvd Suite V5.400, Dallas, TX 75390-9091

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1625 (TX)

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Registry record

NPI: 1184051906
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2013
Record last updated: 11 Oct 2013

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.