SearchLouisiana164W00000X

Angel Wilson

NPI 1861963035 · on the registry since 2018

Practice

Address
3440 Skipper St
Lake Charles, LA 70607
Phone
(713) 799-2200

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-12-16

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 Louisiana