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Dr. Benjamin Wilson, DO
Vascular & Interventional Radiology Physician in Fort Worth, Texas
NPI 1821382409

Benjamin Wilson is a Vascular & Interventional Radiology Physician based in Fort Worth, TX and is specialized in Vascular & Interventional Radiology. Benjamin Wilson practices in Fort Worth, TX and has the professional credentials of DO. The NPI Number for Benjamin Wilson is 1821382409 and holds a License No. OS018849 (Texas).

The current practice location address for Benjamin Wilson is 1301 Pennsylvania Ave, Fort Worth, TX and can be reached out via phone at 817-321-0404.

Location: 1301 Pennsylvania Ave, Fort Worth, TX, 76104-3194
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821382409
Provider Name
Benjamin Wilson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1301 Pennsylvania Ave, Fort Worth, TX, 76104-3194
Phone Number
817-321-0404
Fax Number
Provider Enumeration Date
06/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1301 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2122
Phone Number
817-321-0404
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2122
Phone Number
817-321-0404
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
()
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
OS018849 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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