Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Wilson, DO

Individual provider Emergency Medicine Physician · NPI 1164262135

Daniel Wilson, DO is a Family Practice in Tyler, Texas. Graduated from University of Pikeville, Kentucky College of Osteopathic Med in 2024, 2 years ago. Licensed in Texas.

Years since qualifying
2
Trained at
University of Pikeville, Kentucky College of Osteopathic Med
Licensed in
TX
In the registry since
2024
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11937 US Highway 271
Tyler, TX 75708-3154
Phone: (903) 877-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence W1920 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence W1920 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164262135
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 28, 2024
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address504 Ravenwood Dr, Athens, TX 75751-3124

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations9 on file with Medicare

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