Wilson, Dwayne

Wilson, Dwayne is an sole proprietor health care provider with primary practice located at 2454 Camp Travis , Fort Sam Houston TX 78234-7671. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Wilson, Dwayne can be contacted via phone (401) 419-6040.

Contact Information

Primary practice address
2454 Camp Travis Fort Sam Houston TX 78234-7671
Phone: (401) 419-6040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 210137 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 037212 Connecticut
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11620 Rhode Island
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 210137 New York
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 210137 New York

Profile Details

NPI number 1578587341
LBN Legal business name Wilson, Dwayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Aug 7th, 2010 - about 14 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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