Wilson, Thomas Laurence

Wilson, Thomas Laurence is an sole proprietor health care provider with primary practice located at 2602 Saint Michael Dr Suite 201A, Texarkana TX 75503-2387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wilson, Thomas Laurence can be contacted via phone (903) 792-1216.

Contact Information

Primary practice address
2602 Saint Michael Dr Suite 201A Texarkana TX 75503-2387
Phone: (903) 792-1216
Fax: (903) 614-5299
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G7024 Texas

Profile Details

NPI number 1760470439
LBN Legal business name Wilson, Thomas Laurence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2005
Last updated Dec 12th, 2023 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760470439 NPPES
Texas Other 00DF12 BC/BS
Texas MEDICAID 11368001 BC/BS
Texas MEDICAID 097982501 BC/BS
Texas Other 89358 BC/BS

Popular Providers