David Wilson, CST/Cfa Inc.

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

SA0007 Issued in TX

Legal business name

DAVID WILSON, CST/CFA INC.

Doing business as

David Wilson, LSA, CST/CFA

Practice address

5016 River Bluff Dr
Fort Worth, TX 76132-3710

Phone

(817) 800-8386

Fax

(817) 295-4992

NPI assigned

Aug 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn Yvonne Hackney

Title

Billing Manager

Phone

(817) 800-8386

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• David Wilson, LSA, CST/CFA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Bradford Wilson, LSA, CST/CFA

  • Surgical Technologist
  • Fort Worth, TX
  • NPI 1275546343
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861405805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33394",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761623394",
            "telephone_number": "817-800-8386",
            "fax_number": "817-295-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 RIVER BLUFF DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323710",
            "telephone_number": "817-800-8386",
            "fax_number": "817-295-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID WILSON, CST/CFA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HACKNEY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "817-800-8386"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "SA0007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "8N4608",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Wilson, LSA, CST/CFA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David J.W. Sorokolit DDS
• David M. Beyer, D.O., P.a.
• David P. Capper, M.D., PLLC
• David Stone DO
• David Truong MD PLLC
• Fang S David, MD
• James K David, MD
• Perry NMN David, NP
• Bianca Davidson
• Clarissa Yuvonne Davidson

• Surgical Technologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgical Technologist 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.