Provider Demographics
NPI:1922159896
Name:WILSON, JOY DENISE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:DENISE
Last Name:WILSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5015 S IH 35
Mailing Address - Street 2:SUITE 174
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-2713
Mailing Address - Country:US
Mailing Address - Phone:512-804-3202
Mailing Address - Fax:512-901-9717
Practice Address - Street 1:5015 S IH 35
Practice Address - Street 2:SUITE 174
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-2713
Practice Address - Country:US
Practice Address - Phone:512-804-3202
Practice Address - Fax:512-901-9717
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2020-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036143944207Q00000X
MN62772207Q00000X
ALMD.36109207Q00000X
MO2017023778207Q00000X
WI67756-20207Q00000X
UT10378410-1205207Q00000X
KS04-40039207Q00000X
NE30219207Q00000X
OK32823207Q00000X
MS25330207Q00000X
SD10615207Q00000X
IAMD-44742207Q00000X
ND14863207Q00000X
LA312076207Q00000X
TXM5586207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine