Michael Lewis Wilson
Student in an Organized Health Care Education/Training Program in San Antonio, TX. Individual provider (NPI-1).
NPI number1316689136
StatusActive
Last updated in NPPESApr 12, 2022
Details
- NPI
- 1316689136
- Entity type
- Individual (NPI-1)
- Name
- Michael Lewis Wilson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2022
- Certification date
- Apr 12, 2022
- Last updated
- Apr 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
7703 Floyd Curl DrSan Antonio, TX 78229-3901
Phone 210-567-4420
Mailing address
7703 Floyd Curl DrSan Antonio, TX 78229-3901
Phone 210-567-4420
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