Organization Active NPI

Wesley G. Wilson, D.O., P.a.

  • Family Medicine Physician
  • Forney, TX
National Provider Identifier
1073707626
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J3393 Issued in TX
Legal business name
WESLEY G. WILSON, D.O., P.A.
Doing business as
Family Medical
Practice address
713 W Broad #200
Forney, TX 75126-9107
Phone
(972) 564-0711
Fax
(972) 564-0323
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Dr. Wesley Garrett Wilson, D.O.NPI 1447256128
Title
President/Physician
Phone
(972) 564-0711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J3393 TX Primary

Addresses

Primary practice location

713 W Broad #200
Forney, TX 75126-9107

Mailing address

713 W Broad #200
Forney, TX 75126-9107
Phone (972) 564-0711

Other names 1

  • Family Medical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1073707626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 W BROAD #200",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751269107",
            "telephone_number": "972-564-0711",
            "fax_number": "972-564-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W BROAD #200",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751269107",
            "telephone_number": "972-564-0711",
            "fax_number": "972-564-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY G. WILSON, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "GARRETT",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "972-564-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J3393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.