Frederic J. Wilson, MD, PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FREDERIC J. WILSON, MD, PLLC

Practice address

800 US Hwy 290 W BLDG B
Suite 400
Dripping Springs, TX 78620-4191

Phone

(512) 858-7474

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

Frederic Wilson, MD

Title

Authorize Office Official

Phone

(512) 858-7474

Specialties & licenses 1

Addresses

Other names 1

• The Wilson Medical Group Doing business as

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1356867014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 US HWY 290 WEST BLDG B",
            "address_2": "SUITE 400",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786204191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 US HWY 290 W BLDG B",
            "address_2": "SUITE 400",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786204191",
            "telephone_number": "512-858-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIC J. WILSON, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_title_or_position": "AUTHORIZE OFFICE OFFICIAL",
        "authorized_official_telephone_number": "512-858-7474",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wilson Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Dripping Springs, TX
• Providers in Dripping Springs, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.