Wilson C Sy MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

K1085 Issued in TX

Legal business name

WILSON C SY MD PA

Practice address

1102 W Trenton Rd
Edinburg, TX 78539-9105

Phone

(956) 631-2529

Fax

(956) 631-2933

NPI assigned

Feb 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wilson C. Sy, M.D.

Title

Medical Director

Phone

(956) 631-2529

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701475200000",
    "number": "1073653739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N 10TH ST # 347",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042835",
            "telephone_number": "956-631-2529",
            "fax_number": "956-631-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399105",
            "telephone_number": "956-631-2529",
            "fax_number": "956-631-2933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 S McColl Rd",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785395503",
            "country_code": "US",
            "telephone_number": "956-631-2529",
            "fax_number": "956-631-2933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785031847",
            "country_code": "US",
            "telephone_number": "956-631-2529",
            "fax_number": "956-631-2933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILSON C SY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-12-02",
        "certification_date": "2023-12-02",
        "status": "A",
        "authorized_official_last_name": "SY",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "956-631-2529",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K1085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS",
            "identifier": "117103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110661901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "00530D",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CSHCN NUMBER",
            "identifier": "110661902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Glen Wilkerson, CRNA
• Kari Elana Williams, MD
• Marcus Wade Williams, PHARM.D.
• Brooke M Williamson, LMFT
• Callie Laneigh Willis
• Wilson Therapeutics
• Judith R Wilson, LCDC
• Nicole Michelle Wilson
• Rachel Elizabeth Wilson, LVN
• Wayne Burleson Wilson, MD

• Specialist in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.