Wilson, David B

Wilson, David B is an individual health care provider with primary practice located at 1325 Pennsylvania Ave Suite 560, Fort Worth TX 76104-2158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Wilson, David B can be contacted via phone (817) 820-2890.

Contact Information

Primary practice address
1325 Pennsylvania Ave Suite 560 Fort Worth TX 76104-2158
Phone: (817) 820-2890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X F8735 Texas

Profile Details

NPI number 1922030832
LBN Legal business name Wilson, David B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 20th, 2015 - about 9 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 1922030832 NPPES
Texas MEDICAID 080636601
Texas MEDICAID 130380205
Texas Other 88822F
Texas Other 0045BY

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