Individual provider · Type 1 NPI
Gretchen Gay Wilson, PA
Surgical Physician Assistant · Dallas, TX
NPI number
1073574232
Active
Practice location
10140 Estate Lane
Dallas, TX 75238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA03390 (TX) |
Surgical Physician Assistant: Definition to come...
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About NPI 1073574232
Gretchen Gay Wilson, PA's National Provider Identifier is 1073574232, issued on Mar 29, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Nov 7, 2012.