Dr Charles R Wilson, DO | |
327 Morris Rd W, Sour Lake, TX 77659-9774 | |
(409) 753-2577 | |
Not Available |
Full Name | Dr Charles R Wilson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 327 Morris Rd W, Sour Lake, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790799807 | NPI | - | NPPES |
139218516 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H8516 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Charles R Wilson, DO 327 Morris Rd W, Sour Lake, TX 77659-9774 Ph: (409) 753-2577 | Dr Charles R Wilson, DO 327 Morris Rd W, Sour Lake, TX 77659-9774 Ph: (409) 753-2577 |
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