Wilson, Cornelius A

Wilson, Cornelius A is an sole proprietor health care provider with primary practice located at 902 Normandy St Ste 100, Houston TX 77015-4952. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Wilson, Cornelius A can be contacted via phone (713) 450-4455.

Contact Information

Primary practice address
902 Normandy St Ste 100 Houston TX 77015-4952
Phone: (713) 450-4455
Fax: (713) 450-4737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X J2845 Texas
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X J2845 Texas

Profile Details

NPI number 1215032586
LBN Legal business name Wilson, Cornelius A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Jan 11th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215032586 NPPES
Texas MEDICAID 137938013
Texas Other 87622Z
Texas Other 2242072
Texas Other 8AJ396

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