Individual provider · Type 1 NPI

Tisha Lique Wilson

Durable Medical Equipment & Medical Supplies · San Antonio, TX

NPI number 1861373532 Active

Practice location

1231 Austin Hwy Ste 103
San Antonio, TX 78209-4982

Call (504) 385-5751 Map

Mailing address

PO Box 90005
San Antonio, TX 78209-9005

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X1551189 (TX)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1861373532

Tisha Lique Wilson's National Provider Identifier is 1861373532, issued on Sep 10, 2025. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in San Antonio, TX. The record was last updated on Sep 10, 2025.