Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANY KAY WILSON, P.A.
ActiveTIFFANY KAY WILSON, P.A. is a Physician Assistant healthcare provider located in HENRIETTA, Texas. NPI 1710920178 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HENRIETTA, TX
Registration Details
- NPI Number
- 1710920178
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2006 (20.164508853054 yrs)
- Last Updated
- May 19, 2021
- Licenses
-
2381 (OK)PA04018 (TX)
Practice Information
- Address
-
412 W SOUTH STHENRIETTA, TX, 763653348Browse TX providers · Browse ZIP 76365
- Phone
- 9402353403
- Fax
- 5802720186
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in HENRIETTA, TX
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS WAYNE DISTEL | PA | 1932184926 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.