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Mr. Michael Thomas Wilson, CPOLPOFAAOP
Customized Equipment (DME) in Missouri City, Texas
NPI 1073722252

Michael Thomas Wilson is a Customized Equipment (DME) based in Missouri City, TX and is specialized in Customized Equipment. Michael Thomas Wilson practices in Missouri City, TX and has the professional credentials of CPOLPOFAAOP. The NPI Number for Michael Thomas Wilson is 1073722252 and holds a License No. 584 (Texas).

The current practice location address for Michael Thomas Wilson is 2711 Cartwright Rd, Missouri City, TX and can be reached out via phone at 281-403-0107.

Location: 2711 Cartwright Rd, Missouri City, TX, 77459-2602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073722252
Provider Name
Michael Thomas Wilson
Credential
CPOLPOFAAOP
Provider Entity Type
Individual
Gender
Male
Address
2711 Cartwright Rd, Missouri City, TX, 77459-2602
Phone Number
281-403-0107
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z05085353 05 TX
institution
Provider Business Practice Location Address Details
Address
2711 Cartwright Rd
City
Missouri City
State
Texas
Zip
77459-2602
Phone Number
281-403-0107
Fax Number
person
Provider Business Mailing Address Details
Address
2711 Cartwright Rd
City
Missouri City
State
Texas
Zip
77459-2602
Phone Number
281-403-0107
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
584 (Texas)
Definition
Definition to come...
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