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Tesa Wilder
NPI 1407443922 · on the registry since 2020
Practice
- Address
- 310 River Bluff Cir
Georgetown, TX 78626 - Phone
- (325) 450-7863
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-30
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