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Contact Information

MARC A WILSON, MD
323 N BONNIE BRAE STREET
DENTON, TX76201
 Phone: 940-484-7100
 Fax: 940-484-7101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MARC A WILSON · (Male)

NPI Number 1154352060
Status Active
Credentials MD
Entity Individual
Enumeration date 07/06/2006
Last updated 04/11/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # L0704
  • TX Medicaid 144688203
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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