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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TERESA LYNNE WILSON, PA-C

Active Sole Proprietor

MRS. TERESA LYNNE WILSON, PA-C is a Physician Assistant healthcare provider located in ALTON, Texas. NPI 1861614109 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ALTON, TX

Registration Details

NPI Number
1861614109
Provider Type
Individual
Gender
Female
NPI Issued
May 3, 2007 (19.099063855557 yrs)
Last Updated
Jun 25, 2014
Licenses
PA 01815 (TX)
PA01815 (TX)
PA01815 (TX)
Sole Proprietor
Yes

Practice Information

Address
1315 W MAIN AVE STE 13A
ALTON, TX, 785731642
Browse TX providers · Browse ZIP 78573
Phone
9564320222
Fax
9565832226
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Pediatrics

Other Physician Assistant Providers in ALTON, TX

Name Credential NPI
APRIL STEPHANIE GARCIA PA 1790913572
MARCO A MARTINEZ PA 1629700869
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.