Individual provider · Type 1 NPI

Destonee Wilson, PA-C

Physician Assistant · Fort Worth, TX

NPI number 1174041578 Active

Practice location

1650 S Beach St
Fort Worth, TX 76105

Call (817) 702-1100 Map

Fax (817) 702-6124

Mailing address

PO Box 732973
Dallas, TX 75373-2973

Other practice locations

  • 2295 S Foothill Dr, Salt Lake City, UT 84109-4000 · (801) 486-3021
  • 6360 S 3000 E Ste 100, Salt Lake City, UT 84121-6924 · (801) 365-1032
  • 2295 S Foothill Dr, Salt Lake City, UT 84109-4000 · (801) 486-3021
  • 13953 S Bangerter Pkwy, Draper, UT 84020-5429 · (385) 900-4090

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X279726-1206 (UT)
Physician Assistant Primary 363A00000XPA12177 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174041578

Destonee Wilson, PA-C's National Provider Identifier is 1174041578, issued on Sep 6, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 7, 2018.