Wilson, Kathleen S
Wilson, Kathleen S is an individual health care provider with primary practice located at 6000 Harry Hines Blvd Hamon Bldg, Room Na2 508A, Dallas TX 75390-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Molecular Genetic Pathology, which is considered as her primary health care specialty. Wilson, Kathleen S can be contacted via phone (214) 648-1620.Contact Information
Primary practice address
6000 Harry Hines Blvd Hamon Bldg, Room Na2 508A
Dallas TX 75390-0001
Phone: (214) 648-1620
Fax: (214) 648-4080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Molecular Genetic Pathology | 207ZP0007X | J2416 | Texas |
Profile Details
| NPI number | 1184711582 |
|---|---|
| LBN Legal business name | Wilson, Kathleen S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jan 7th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184711582 | NPPES |
| Texas | MEDICAID | 110712003 |
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