Search › Texas › 363A00000X
Tiffany Wilson, P.A
NPI 1710920178 · on the registry since 2006
Practice
- Address
- 412 W South St
Henrietta, TX 76365 - Phone
- (940) 235-3403
- Fax
- (580) 272-0186
- Organisation at this address
- Clay County Memorial Hospital
Discovery Medical Network Henrietta LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- OK, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-19
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