MR. INYANG E WILSON (NPI# 1053359885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053359885 |
| Entity Type | Individual |
| Full Name | MR. INYANG E WILSON |
| Credential | PA |
| Practice Address |
606 N Gulf Blvd Freeport TX 77541-3902 |
| Mailing Address |
Po Box 921 Fresno TX 77545-0921 |
| Practice Telephone | 9798719354 |
| Practice Fax Number | 9798719429 |
| Mailing Telephone | 9798719453 |
| Mailing Fax Number | 9798719429 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2013-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00933 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
606 N GULF BLVD |
| City | FREEPORT |
| State | TX |
| Zip Code | 77541-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881649747 | Brazosport Community Medical Clinic | Family Medicine | 606 N Gulf Blvd, Freeport, TX 77541-3902 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174909022 | Aida Garza | Counselor | 200 W. 2nd St., Suite 228, Freeport, TX 77541 | 2015-08-03 |
| 1982960720 | Adapt Programs, LLC | Clinic/Center | 210 W 1st Street, Suite B Room 1, Freeport, TX 77541 | 2012-04-05 |
| 1467976530 | Carmen Garcia-garza | Nurse Practitioner | 905 N Gulf Blvd, Freeport, TX 77541 | 2017-07-31 |
| 1326380767 | Mohamed Awni Zebda | Pediatrics | 905 N Gulf Blvd, Freeport, TX 77541 | 2013-03-25 |
| 1003022898 | Nusrat Ahmed | Family Medicine | 905 N Gulf Blvd, Freeport, TX 77541 | 2007-05-16 |
| 1952707861 | Melissa Colvin | Nurse Practitioner | 602 Copper Rd, Freeport, TX 77541-3001 | 2014-11-05 |
| 1083926752 | Stanley H Miller | Preventive Medicine | 2301 N Brazosport Blvd # B-101, Dow Chemical Health Services, Freeport, TX 77541-3203 | 2010-07-09 |
| 1063633303 | Beverly E Morrison | Physical Medicine & Rehabilitation | 1102 N Brazosport Blvd, Freeport, TX 77541-3504 | 2007-05-02 |
| 1114917846 | Atlas Dental Lp | Dentist | 1723 N Avenue K, Freeport, TX 77541-3605 | 2005-10-25 |
| 1457727109 | Shine Dental Pllc | Dentist | 1723 N Avenue K, Freeport, TX 77541-3605 | 2015-08-17 |
| Find all providers in zip 77541 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124539705 | Rocio Romero | Physician Assistant | 385 W Sunrise Hwy, Freeport, NY 11520-3120 | 2017-10-23 |
| 1083154793 | Chelsea Elizabeth Rios | Physician Assistant | 129 W Sunrise Hwy, Freeport, NY 11520-3559 | 2017-02-28 |
| 1497115687 | Sylvana Lora | Physician Assistant | 53 W Merrick Rd, Freeport, NY 11520-3709 | 2016-03-01 |
| 1881097186 | Desiree Viviano | Physician Assistant | 5 Jeffrey Ct, Freeport, NY 11520-5711 | 2014-09-30 |
| 1811316508 | Patricia Mompoint | Physician Assistant | 71 Rose St, Freeport, NY 11520-4321 | 2014-04-10 |
| 1407292220 | Lauren Neighbors Youtz | Physician Assistant | 479 E. Hwy 20, Freeport, FL 32439 | 2013-05-20 |
| 1902115595 | David Johnson | Physician Assistant | 939 S Long Beach Ave, Freeport, NY 11520-6306 | 2010-09-29 |
| 1891946240 | Cedric Charles Wallace | Physician Assistant | 20 Coolidge Pl, Freeport, NY 11520-2543 | 2008-10-03 |
| 1043435928 | Meredith Wall | Physician Assistant | 7 Campus Drive, Intermed Onsite At Llbean, Freeport, ME 04032 | 2007-04-16 |
| 1609817188 | Nicole Ann Leggio | Physician Assistant | 60 Guy Lombardo Ave, Jacqueline Delmont Md PC, Freeport, NY 11520 | 2006-06-08 |
| Find all providers in FREEPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.