Wilson, Richard Paul

Wilson, Richard Paul is an individual health care provider with primary practice located at 400 Mid Cities Blvd , Hurst TX 76054-2430. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wilson, Richard Paul can be contacted via phone (817) 554-8200.

Contact Information

Primary practice address
400 Mid Cities Blvd Hurst TX 76054-2430
Fax: (817) 554-8204
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X M8431 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M8431 Texas

Profile Details

NPI number 1497923536
LBN Legal business name Wilson, Richard Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2008
Last updated Mar 27th, 2017 - about 7 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 1497923536 NPPES
Texas MEDICAID 210602301
Texas Other 8BZ229

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