Wilson, Tanisha

Wilson, Tanisha is an sole proprietor health care provider with primary practice located at 4242 Medical Dr Ste 7250 , San Antonio TX 78229-5369. She recently has 2 registered licenses in different health care specialties including Agencies / Hospice Care, Community Based, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Wilson, Tanisha can be contacted via phone (210) 504-6393.

Contact Information

Primary practice address
4242 Medical Dr Ste 7250 San Antonio TX 78229-5369
Phone: (210) 504-6393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X Texas
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1841692316
LBN Legal business name Wilson, Tanisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2014
Last updated Apr 11th, 2024 - about last year

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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