DR. ROBERT STOREY WILSON SR. (NPI# 1801972385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801972385 |
| Entity Type | Individual |
| Full Name | DR. ROBERT STOREY WILSON SR. |
| Credential | D.O. |
| Practice Address |
1100 N Mccart St Stephenville TX 76401-2430 |
| Practice Telephone | 2549682907 |
| Mailing Telephone | 2549682907 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
E4770 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1487020566 | Robert Wilson | Acupuncturist | 537 W Washington St, Marquette, MI 49855-4133 | 2015-08-12 |
| 1205247129 | Robert Norman Wilson IIi | Student in an Organized Health Care Education/Training Program | Gru College of Dental Medicine, Augusta, GA 30912-0001 | 2014-05-13 |
| 1477971885 | Robert Borden Wilson | Pediatrics | 2300 Hospital Dr Ste 120, Bossier City, LA 71111-2193 | 2014-04-02 |
| 1922362888 | Robert Travis Wilson | Emergency Medicine | 517 Kerri Cove Ct Apt 104, Midlothian, VA 23113-6873 | 2012-06-26 |
| 1144589458 | Robert Wilson | Chiropractor | 132a N Central Ave, Centerville, TN 37033 | 2012-05-07 |
| 1649575937 | Robert George Wilson | Military Health Care Provider | 515 Tessentee Rd, Franklin, NC 28734 | 2011-01-18 |
| 1396078317 | Robert Max Wilson | Case Manager/Care Coordinator | 618 Manzano Ne, Albuquerque, NM 87110 | 2009-09-09 |
| 1013140672 | Robert James Wilson | Dentist | 1321 N Tennessee St, # 108, Mckinney, TX 75069-2142 | 2009-08-31 |
| 1417189994 | Robert P Wilson Jr. | Physical Therapist | 225 Evergreeen Road, Pottstown, PA 19464 | 2009-08-17 |
| Street Address |
1100 N MCCART ST |
| City | STEPHENVILLE |
| State | TX |
| Zip Code | 76401-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421930 | Catherine Johns | Speech-Language Pathologist | 418 County Road 428, # 418, Stephenville, TX 76401 | 2019-11-12 |
| 1457828683 | Allison Ann Luedeker | Nurse Practitioner | 950 Bluebonnet Street, Stephenville, TX 76401 | 2018-10-25 |
| 1326528092 | Stephanie Renee Drake | Speech-Language Pathologist | 1739 Bull Elk Dr, Stephenville, TX 76401 | 2018-08-21 |
| 1528564804 | Dylan D Dawson | Specialist/Technologist | 1590 Washington St, Stephenville, TX 76401 | 2018-04-04 |
| 1730680117 | Alison Lea Reynolds | Licensed Vocational Nurse | 208 Prairie Wind, Stephenville, TX 76401 | 2018-02-22 |
| 1760855977 | Gina Neri | Physical Therapy Assistant | 1670 West Lingley Rd, Stephenville, TX 76401 | 2015-11-10 |
| 1104216886 | Edmund Case Horton | Rehabilitation Counselor | 2443-8 Nw Loop, Stephenville, TX 76401 | 2015-02-02 |
| 1043648215 | Cross Timbers Imaging | Radiology | 561 N. Graham St, Stephenville, TX 76401 | 2013-10-24 |
| 1306273362 | Kelley Camille Verpooten | Counselor | 239 S. Virginia Street, Stephenville, TX 76401 | 2013-10-04 |
| 1477735140 | Nanette V Evans M.d., P.a. | Radiology | 150 Rivernorth Blvd., Stephenville, TX 76401 | 2007-12-04 |
| Find all providers in zip 76401 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1427666353 | Fresh Start Psychiatric Clinic | Psychiatry & Neurology | 9843 Blaine Lake Dr, Houston, TX 77086-2878 | 2020-07-16 |
| 1558776138 | Ivanshu Navinprakash Jain | Psychiatry & Neurology | Terrell State Hospital, 1200 E Brin St, Terrell, TX 75160 | 2014-06-23 |
| 1558592428 | Padmaja Puppala | Psychiatry & Neurology | 2116 Canyon Park Dr, Southlake, TX 76092 | 2009-07-27 |
| 1710143813 | Professional Medical Services | Psychiatry & Neurology | 35 Juniper Grove Pl, The Woodlands, TX 77382-4403 | 2008-07-29 |
| 1679609093 | Julie Ross Pittman | Psychiatry & Neurology | 3602 Matlock Rd Ste 210, Arlington, TX 76015-3600 | 2007-02-27 |
| 1033263009 | John R Marshall | Psychiatry & Neurology | 1107 N Cooper St, Arlington, TX 76011-5545 | 2007-01-23 |
| 1760536999 | Robert B Hunter | Psychiatry & Neurology | 2404 Kingston St, Houston, TX 77019-6604 | 2007-01-23 |
| 1487731758 | Beth Kratochvil Boyarsky | Psychiatry & Neurology | 711 N College St, Georgetown, TX 78626 | 2006-11-01 |
| 1427064062 | Luz Starck | Psychiatry & Neurology | 12050 Vance Jackson Building 2 Suite 201, San Antonio, TX 78230 | 2006-08-01 |
| 1679568794 | Donald Ray Fulsom | Psychiatry & Neurology | 401 E Front St, Tyler, TX 75702-8213 | 2005-09-14 |
| Find all providers with the same taxonomy | ||||
| City | STEPHENVILLE |
| Zip Code | 76401 |
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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.