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Contact Information

TEICHA WILSON, MD
2111 COLLEGE DR
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
GALLUP, NM87301-5600
 Phone: 505-863-1820
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TEICHA WILSON · (Female)

NPI Number 1306818125
Status Active
Credentials MD
Entity Individual
Enumeration date 02/06/2006
Last updated 01/28/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NM License # MD2004-0819
  • WA License # MD60027915
  • AZ Medicaid 953126
  • NM Medicaid 42378516
  • Other QMYPR0068268 MOLINA
  • NM Other NM009W12 BCBS
  • NM Other 10019728 LOVELACE HEALTH/SALUD
  • NM Other 202000082 PRESBYTERIAN HEALTH/SALUD
Hospital affiliation(s) Not Available
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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