Dr. Kendal Phillip Wilson
Physical Medicine & Rehabilitation Doctor
1600 Hospital Pkwy
Bedford
, Texas 76022-6913
Dr. Kendal Phillip Wilson
Physical Medicine & Rehabilitation Doctor
1600 Hospital Pkwy
Bedford
, Texas 76022-6913
(972) 444-0907
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Kendal Phillip Wilson
- 313 Waterside Dr
- Irving, TX
- Zip : 75063-4252
- Phone : (972) 444-0907
Second Address
- Dr. Kendal Phillip Wilson
- 1600 Hospital Pkwy
- Bedford, TX
- Zip : 76022-6913
- Phone : (817) 685-4920
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | H7256 | TX |
National Provider Identifier
| NPI | 1043235054 |
|---|---|
| Provider Name | Dr. Kendal Phillip Wilson |
| First Address | Irving, TX 75063-4252 |
| Second Address | Bedford, TX 76022-6913 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 19/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E14666 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.