SearchTexas163WM0705X

Tamika Wilson

NPI 1699455725 · on the registry since 2023 · sole proprietor

Practice

Address
4103 Indian Paint Brush Ln
Heartland, TX 75126
Phone
(248) 719-8648

Registry record

Primary taxonomy
163WM0705X
163WM0705X
Also registered as
163WG0600X
163WX0200X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-24

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