Ronald T. Wilson, M.D. P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

637964 Issued in TX

Legal business name

RONALD T. WILSON, M.D. P.A.

Practice address

3323 Colorado Blvd
Suite a
Denton, TX 76210-6867

Phone

(940) 565-1100

Fax

(940) 566-6571

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald T. Wilson, M.D.

Title

Owner

Phone

(940) 565-1100

Specialties & licenses 1

Addresses

Other names 1

• Stork Associates Doing business as

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114000700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 COLORADO BLVD",
            "address_2": "SUITE A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106867",
            "telephone_number": "940-565-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 COLORADO BLVD",
            "address_2": "SUITE A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106867",
            "telephone_number": "940-565-1100",
            "fax_number": "940-566-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD T. WILSON, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-565-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "637964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stork Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Denton, TX
• Providers in Denton, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.