| David Wilson, MD | |
|
1050 E. Hwy. 114, Suite 100, Southlake, TX 76092-4917 | |
| (817) 329-8364 | |
| (817) 329-1285 |
| Full Name | David Wilson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 1050 E. Hwy. 114, Southlake, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326468901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R0813 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valora Medical Center Llc | 4880095983 | 11 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Comanche County Medical Center Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346544616 PECOS PAC ID: 3678753357 Enrollment ID: O20110825000076 |
| Entity Name | Valora Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831772052 PECOS PAC ID: 4880095983 Enrollment ID: O20210628000766 |
| Mailing Address | Practice Location Address |
|---|---|
| David Wilson, MD 1050 E. Hwy. 114, Suite 100, Southlake, TX 76092-4917 Ph: (817) 329-8364 | David Wilson, MD 1050 E. Hwy. 114, Suite 100, Southlake, TX 76092-4917 Ph: (817) 329-8364 |
Dr. Amity L Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Zena Rucker Rd Ste 105, Southlake, TX 76092 Phone: 817-488-2837 Fax: 817-488-6335 | |
Jake Sanchez, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 682-365-2929 | |
Dr. Ronnie Mitchell, D. O. Family Medicine Medicare: Medicare Enrolled Practice Location: 751 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 972-355-3771 Fax: 972-739-2418 | |
Susan Garza Anderson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1311 Westmont Ct, Southlake, TX 76092 Phone: 214-458-1483 | |
Vijayabhasker K Reddy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Aspen Ridge Dr, Southlake, TX 76092 Phone: 817-917-6647 Fax: 870-338-8239 | |
Mrs. Kayla Anne Miles, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 550 N Carroll Ave, Southlake, TX 76092 Phone: 817-481-2444 Fax: 817-421-0277 | |
Dr. Robin Annette Hall, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 E Southlake Blvd, Suite 200, Southlake, TX 76092 Phone: 817-310-6050 Fax: 817-310-6051 |