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

Dr. Clark Alexander Wilson, MD

Individual provider Urology Physician · NPI 1083963334

Dr. Clark Alexander Wilson, MD is an Urology in Tyler, Texas. Qualified in 2011, 15 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in Ohio and Texas.

Years since qualifying
15
Licensed in
OH, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

700 Olympic Plaza Cir Ste 700
Tyler, TX 75701-1954
Phone: (032) 623-9009
Fax: (903) 262-3993
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence Q7812 (TX)
Urology Physician Taxonomy 208800000X · Licence 35.135944 (OH)

Record details

NPI number1083963334
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 2, 2012
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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