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Dr. Mark Wilson, MD

Emergency Medicine in Bryan, TX. Individual provider (NPI-1).

NPI number1679660682
StatusActive
Last updated in NPPESJun 1, 2021

Details

NPI
1679660682
Entity type
Individual (NPI-1)
Name
Dr. Mark Wilson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 10, 2006
Certification date
Jun 1, 2021
Last updated
Jun 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineN1225TXYes

Practice location

3134 Briarcrest Dr
Bryan, TX 77802-3014

Phone 979-314-2323

Mailing address

17268 Eagle Pass Dr
College Station, TX 77845-4567

Phone 979-217-1317

Other practice locations

209 Nw 8th St
Seminole, TX 79360-3447

Phone 432-758-5811

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