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Contact Information

JOHN D WILSON, MD
1750 NORTH HAMPTON ROAD
DESOTO, TX75115
 Phone: 817-321-0404
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JOHN D WILSON · (Male)

NPI Number 1144204652
Status Active
Credentials MD
Entity Individual
Enumeration date 11/30/2005
Last updated 06/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # J7730
  • TX Medicaid 041641402
  • TX Medicaid 041641403
Hospital affiliation(s)
  • METHODIST CHARLTON MEDICAL CENTER - (Acute Care)
    3500 W WHEATLAND ROAD
    DALLAS, TX 75237
  • METHODIST DALLAS MEDICAL CENTER - (Acute Care)
    1441 NORTH BECKLEY AVENUE
    DALLAS, TX 75203
  • METHODIST MCKINNEY HOSPITAL - (Acute Care)
    8000 W ELDORADO PKWY
    MC KINNEY, TX 75070
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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