DWAYNE WILSON M.D. NPI 1578587341

NPI Information

NPI: 1578587341
Provider Name: DWAYNE WILSON, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address: 2454 CAMP TRAVIS
FORT SAM HOUSTON, TX
ZIP 78234
Phone: (401) 419-6040

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NPI Details

Dwayne Wilson, M.D. is an emergency medicine in Fort Sam Houston, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Dwayne Wilson, M.D. NPI is 1578587341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2454 CAMP TRAVIS
FORT SAM HOUSTON, TX
ZIP 78234-671
Phone: (401) 419-6040

The enumeration date for this NPI number is 7/26/2006 and was last updated on 8/7/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		210137	NEW YORK	No
2	207P00000X	Emergency Medicine		11620	RHODE ISLAND	No
3	207PE0004X	Emergency Medicine	Emergency Medical Services	210137	NEW YORK	No
4	2083A0100X	Preventive Medicine	Aerospace Medicine	210137	NEW YORK	No
5	207P00000X	Emergency Medicine		037212	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G81241	MEDICARE UPIN

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: 11/21/2025

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