RICHARD A. WILSON, DDS, PA


Address: 3828 W Davis St, Suite 310, Conroe, TX 77304-1815
Phone: 9367569015

RICHARD A. WILSON, DDS, PA (NPI# 1326587767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326587767
Entity Type Organization
Organization Name RICHARD A. WILSON, DDS, PA
Practice Address 3828 W Davis St
Suite 310
Conroe
TX 77304-1815
Practice Telephone 9367569015
Practice Fax Number 9367567098
Mailing Telephone 9367569015
Mailing Fax Number 9367567098
Enumeration Date 2017-02-17
Last Update Date 2017-02-17
Authorized Official Name DR. RICHARD ALLEN WILSON (OWNER/PRESIDENT)
Authorized Official Telephone 9367569015
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service 26065 TX Managed Care Organizations

Office Location

Street Address 3828 W DAVIS ST
SUITE 310
City CONROE
State TX
Zip Code 77304-1815

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760633929 Richard Allen Wilson Dentist 3828 W Davis St, Suite 310, Conroe, TX 77304-1815 2008-10-07
1578962866 Larry Zhang Dentist 3828 W Davis St, Suite 310, Conroe, TX 77304-1815 2014-08-22
1770881401 Richard A. Wilson, Dds, P.a. Dentist 3828 W Davis St, Conroe, TX 77304-1815 2011-03-03

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1922591411 Bradley Leiker II Dentist 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 2018-06-11
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1093165615 Melanie Kay Plaster Behavioral Analyst 2626 Silver Shadow, Conroe, TX 77304 2016-06-14
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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336534973 Sparta Wellness Point of Service 27350 Blueberry Hill Dr, Suite 10, Conroe, TX 77385-8963 2015-03-31

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1912561952 Pink Vanity Beauty Bar LLC Point of Service 16990 Dallas Pkwy Ste 208, Dallas, TX 75248-1935 2019-04-25
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1639634512 Agape Love International Foundation Point of Service 11614 Welshpool Glen Dr, Houston, TX 77066-4621 2019-02-05
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1871077446 Novacure Group, LLC Point of Service 5161 San Felipe St Ste 320-18, Houston, TX 77056-3633 2018-09-19
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Competitor

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City CONROE
Zip Code 77304

Improve Information

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Dataset Information

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.

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