Wilson, Teresa Lynne

Wilson, Teresa Lynne is an sole proprietor health care provider with primary practice located at 1315 W Main Ave Ste 13A , Alton TX 78573-1642. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wilson, Teresa Lynne can be contacted via phone (956) 432-0222.

Contact Information

Primary practice address
1315 W Main Ave Ste 13A Alton TX 78573-1642
Phone: (956) 432-0222
Fax: (956) 583-2226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 01815 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01815 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X PA01815 Texas

Profile Details

NPI number 1861614109
LBN Legal business name Wilson, Teresa Lynne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Jun 25th, 2014 - about 10 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 1861614109 NPPES
Texas MEDICAID 285326902

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