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Contact Information

JUSTIN A WILSON, OPA-C
16020 PARK VALLEY DR
ROUND ROCK, TX78681-3573
 Phone: 512-477-6341
 Fax: 512-477-1959
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Assistant

246ZX2200X
 

Surgical Assistant

246ZC0007X
Indicates primary specialty

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

NPI Number 1285021071
Status Active
Credentials OPA-C
Entity Individual
Enumeration date 04/20/2015
Last updated 01/19/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 913
  • Other #913 ORTHOPEDIC PHYSICIAN ASSISTANTS
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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