SearchTexas163W00000X

Fayetta Wilson

NPI 1164994174 · on the registry since 2019

Practice

Address
929 Simon Dr
Cedar Hill, TX 75104
Phone
(972) 821-3159

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-01-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas