Dr. Paul G. Wilson
Health Service
10334 Hendrix Road Ne
Albuquerque
, New Mexico 87111
Dr. Paul G. Wilson
Health Service
10334 Hendrix Road Ne
Albuquerque
, New Mexico 87111
(505) 990-3947
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About
Features
Specialties
- Health Service
Languages spoken
- English
Location
First Address
- Dr. Paul G. Wilson
- 10334 Hendrix Road Ne
- Albuquerque, NM
- Zip : 87111
- Phone : (505) 990-3947
Second Address
- Dr. Paul G. Wilson
- 10334 Hendrix Road Ne
- Albuquerque, NM
- Zip : 87111
- Phone : (505) 990-3947
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TH0100X | Health Service | 721 | OK |
National Provider Identifier
| NPI | 1396715058 |
|---|---|
| Provider Name | Dr. Paul G. Wilson |
| First Address | Albuquerque, NM 87111 |
| Second Address | Albuquerque, NM 87111 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2006 |
| Last Update Date | 18/10/2011 |
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.