Individual provider · Type 1 NPI

Caleb T. Wilson

Student in an Organized Health Care Education/Training Program · Beaumont, TX

NPI number 1629955356 Active

Practice location

1440 Rikisha Ln
Beaumont, TX 77706-3537

Call (409) 338-6124 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNONE (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629955356

Caleb T. Wilson's National Provider Identifier is 1629955356, issued on Aug 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Beaumont, TX. The record was last updated on Aug 15, 2025.