NPI Profile for TEICHA WILSON in GALLUP, NM.
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal-Perinatal Medicine |
2080N0001X | 37 | Physician/Pediatric Medicine | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| 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 |
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| Hospital affiliation(s) | Not Available |
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TEICHA WILSON
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