Steve Ivan Oliver Wilson M.D.

NPI 1083691455 - Anesthesiology - 207L00000X

NPI Details
NPI 1083691455
Gender Male
Enumeration Date 12/28/2005
Last Updated 05/21/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
13737 NOEL ROAD
SUITE 1400
DALLAS TX, 75240-2004, US
Phone (972) 715-5000
Fax
Business Location
PO BOX 650865
DALLAS TX, 75265-0865, US
Phone (972) 715-5000
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Texas
License Number L3527
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According to our database, Dr. Steve Ivan Oliver Wilson M.D. NPI is 1083691455, taxonomy code is 207L00000X and license number is L3527, license state is located at Texas. Steve Ivan Oliver Wilson M.D. physically located at 13737 Noel Road, Dallas TX, 75240-2004. NPI Number Steve Ivan Oliver Wilson M.D. has the Individual type.

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1083691455 NPI number is provided on an as is basis without warranty of any kind. 1083691455 is maintained by the National Plan & Provider Enumeration System. The contents of Steve Ivan Oliver Wilson M.D. are for informational purposes only.