Annie Pearl Wilson, PFRT

Individual provider Active NPI Pulmonary Function Technologist · Dallas, TX

NPI 1629378245 · NPPES record last updated Oct 29, 2010

Key facts

NPI
1629378245
Entity type
Individual (NPI type 1)
Primary specialty
Pulmonary Function Technologist 225B00000X
License
50249 (TX)
Practice address
4500 South Lancaster Road
Dallas, TX 75216-7167
Phone
(214) 857-1601
NPI assigned
Oct 29, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
50249TXMDPulmonary Function Technologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Function Technologist 225B00000X 50249 TX Yes

Addresses

Primary practice location

4500 South Lancaster Road
Dallas, TX 75216-7167

Mailing address

4500 South Lancaster Road
Dallas, TX 75216-7167
Phone (214) 857-1601

Other providers in Dallas, TX

All providers in Dallas, TX · Pulmonary Function Technologist in Texas

Sources for this page

Verify at the official NPI Registry.