Organization · Type 2 NPI

Richard A. Wilson, Dds, PA

Point of Service · Conroe, TX

NPI number 1326587767 Active

Practice location

3828 W Davis St, Suite 310
Conroe, TX 77304-1815

Fax (936) 756-7098

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000X26065 (TX)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1326587767

Richard A. Wilson, Dds, PA's National Provider Identifier is 1326587767, issued on Feb 17, 2017. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Conroe, TX. The record was last updated on Feb 17, 2017.