Wilson, Leah Ann
Wilson, Leah Ann is an individual health care provider with primary practice located at 929 Hilltop Dr , Weatherford TX 76086-5845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wilson, Leah Ann can be contacted via phone (817) 599-7576.Contact Information
Primary practice address
929 Hilltop Dr
Weatherford TX 76086-5845
Phone: (817) 599-7576
Fax: (817) 596-7901
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA01016 | Texas |
Profile Details
NPI number | 1669634150 |
---|---|
LBN Legal business name | Wilson, Leah Ann |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 26th, 2008 |
Last updated | Sep 7th, 2016 - about 8 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 | 1669634150 | NPPES |
Texas | MEDICAID | 196028801 | |
Texas | Other | 8Y8467 |
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