Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUSSELL CARL WILSON, P.A.-C, A.T.C.
ActiveMR. RUSSELL CARL WILSON, P.A.-C, A.T.C. is a Physician Assistant healthcare provider located in ALLEN, Texas. NPI 1780675967 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ALLEN, TX
Registration Details
- NPI Number
- 1780675967
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2005 (20.587303460287 yrs)
- Last Updated
- Sep 20, 2022
- Licenses
-
45448 (TX)020202111 (NE)PA.0005767 (CO)1092900 (TX)PA06802 (TX)
Practice Information
- Address
-
1125 RAINTREE CIR STE 100ALLEN, TX, 750135289Browse TX providers · Browse ZIP 75013
- Phone
- 9727279995
- Fax
- 9727278350
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ALLEN, TX
| Name | Credential | NPI |
|---|---|---|
| JURRY E. VAN ARK | PA-C | 1881688471 |
| MR. CHARLES LIONEL STAATS | PA | 1144267048 |
| LINH HO TSAN | PA | 1467490060 |
| MR. SETH MITCHELL RUBIN | PA-C | 1366482770 |
| SOPHIA ANDREOLA SERRANO | PA | 1437180031 |
| MRS. KENDRA MICHELLE KNOWLES | PA-C | 1144239120 |
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.