Richard Paul Wilson, MD
Family Medicine in Hurst, TX. Individual provider (NPI-1).
NPI number1497923536
StatusActive
Last updated in NPPESMar 27, 2017
Details
- NPI
- 1497923536
- Entity type
- Individual (NPI-1)
- Name
- Richard Paul Wilson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2008
- Last updated
- Mar 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | M8431 | TX | Yes |
| 207QS0010X | Family Medicine, Sports Medicine | M8431 | TX |
Practice location
400 Mid Cities BlvdHurst, TX 76054-2430
Phone 817-554-8200 · Fax 817-554-8204
Mailing address
400 Mid Cities BlvdHurst, TX 76054-2430
Phone 817-554-8200 · Fax 817-554-8204
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