Individual provider · Type 1 NPI

Stephen L. Wilson, MD

Specialist · Fort Worth, TX

NPI number 1760513451 Active

Practice location

1015 S Henderson St
Fort Worth, TX 76104-2924

Call (817) 870-1035 Map

Fax (817) 332-5005

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMDG4220 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1760513451

Stephen L. Wilson, MD's National Provider Identifier is 1760513451, issued on Mar 7, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 8, 2007.