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CARMEN R. WILSON MD NPI 1275518524


NPI Information

NPI: 1275518524
Provider Name: CARMEN R. WILSON, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
3320 LIVE OAK ST
EAST DALLAS HEALTH CENTER
DALLAS, TX
ZIP 75204
Phone: (214) 266-1007
Get Directions

Carmen R. Wilson, MD is a pediatrics in Dallas, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Carmen R. Wilson, MD NPI is 1275518524. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3320 LIVE OAK ST
EAST DALLAS HEALTH CENTER
DALLAS, TX
ZIP 75204-109
Phone: (214) 266-1007

The enumeration date for this NPI number is 12/9/2005 and was last updated on 11/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsH5145TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E19862MEDICARE UPINTEXAS
2139450404MEDICAIDTEXAS
3139450410MEDICAIDTEXAS
4139450414MEDICAIDTEXAS
5139450416MEDICAIDTEXAS
689G970OTHERTEXASBLUE CROSS BLUE SHIELD
7139450406MEDICAIDTEXAS
8139450409MEDICAIDTEXAS
9139450412MEDICAIDTEXAS
10139450402MEDICAIDTEXAS
11139450403MEDICAIDTEXAS
12139450408MEDICAIDTEXAS
13139450411MEDICAIDTEXAS
1489G970MEDICARE PINTEXAS
15139450415MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.