Most Relevant Information
Provider Data
| NPI Number: | 1003654328 |
| Provider Name: | KAYLA V WILSON |
| Entity Type: | Individual |
| Taxonomy Code: | 251S00000X |
| Specialty: | Community/Behavioral Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/19/2024 |
| Last Updated: | 07/19/2024 |
Provider Practice Location
8035 E R L THORNTON FWY STE 242
DALLAS
TX
752287082
Practice Location Phone/Fax
| Phone: | 4699846563 |
| Fax: |
Provider Mailing Location
8035 E R L THORNTON FWY STE 242
DALLAS
TX
752287082
Provider Mailing Phone/Fax
| Phone: | 4699846563 |
| Fax: |