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Jeremiah Wilson, CRNA
NPI 1902955008 · on the registry since 2007
Practice
- Address
- 1424 East Front
Tyler, TX 75702 - Phone
- (903) 595-4144
- Organisation at this address
- Dehaven Cataract Surgical Center ,Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-12-17
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